Rare Case Report of Robert Uterus with Ovarian Endometrioma

Abstract

Robert's uterus is a rare type of congenital uterine anomaly where septum divides the uterine cavity asymmetrically resulting in the formation of a noncommunicating hemiuterus. Patients may present with recurrent pain, severe dysmenorrhea, recurrent abortions, and infertility. A 25 years nulliparous female with complaint of severe dysmenorrhea without bleeding per vagina since her menarche was visited to our clinic. She attained her menarche at the age of 12 years which was followed by severe dysmenorrhea in every month. Dysmenorrhea persisted and increased in intensity gradually. She had a history of a spontaneous first trimester miscarriage, followed by secondary infertility for 3 years. She also had severe deep dyspareunia with gradually decreasing coital frequency. Since her menarche she was taking regular analgesics oral and parenteral and the frequency of same has increased in the last few years. USG showed a septate uterus with hemorrhagic collection in the left endometrial cavity linear calcifications described likely retained product of conception. MRI showed thick uterine septum completely dividing the uterine cavity asymmetrically with no communication with cervix indicative of Robert's uterus. Here, we reported same case that was initially diagnosed by ultrasound scan and confirmed by MRI technique.