Menstrual retention in a Robert's uterus.
BACKGROUND
Robert's uterus is an asymmetric septate uterus. This malformation is very rare, particularly in the pediatric age group. Radiologic findings could be surprising, but are very specific. We report here a representative case.


METHODS
A 15-year-old patient complaining of recurrent abdominal cramps consulted the emergency department for evaluation of acute pain. Radiologic studies showed a circular lesion that had developed within the posterior wall of the uterus. The patient underwent surgery for a suspected Robert's uterus and an endometriectomy of the blind cavity was performed. There was no communication between the blind cavity and the ipsilateral fallopian tube.


CONCLUSIONS
Pediatric surgeons and gynecologists should be aware of this atypical obstructive Müllerian malformation and its management in order to avoid inappropriate management of these young patients.
Capito
Carmen
C
Department of Pediatric Surgery, Necker Enfants-Malades Hospital, Paris V University, Paris, France.
Sarnacki
Sabine
S
D000006:Abdomen, Acute / Q000209:etiology; D000293:Adolescent; D005260:Female; D006409:Hematometra / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery