误诊为罗伯特氏子宫的患者行不恰当的手术。
Inappropriate surgery in a patient with misdiagnosed Robert's uterus.
机构信息
Department of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, 4-2-22 Nishiki-cho, Tachikawa-shi, Tokyo, 1908531, Japan.
Department of Obstetrics and Gynecology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 1608582, Japan.
出版信息
BMC Womens Health. 2021 Jul 3;21(1):264. doi: 10.1186/s12905-021-01404-3.
BACKGROUND
Robert's uterus is a rare Mullerian anomaly, which can be described as an asymmetric, septate uterus with a non-communicating hemicavity. Herein, we present the case of a misdiagnosed Robert's uterus, resulting in an invasive and disadvantageous surgery.
CASE PRESENTATION
A 16-year-old woman was referred to our department because of dysmenorrhea and suspicion of uterine malformation. We misdiagnosed Robert's uterus as a unicornuate uterus with a non-communicating rudimentary horn and hematometra, and performed laparoscopic hemi-hysterectomy. Although the patient's symptoms were relieved, our surgical procedure left the lateral uterine wall weak, making the patient's uterus susceptible to uterine rupture in any future pregnancy.
CONCLUSIONS
Although the early diagnosis of Robert's uterus is challenging, it is important in order to determine appropriate surgical interventions and management for maintaining the quality of life and ensuring safety in future pregnancies.
背景
罗伯特氏子宫是一种罕见的苗勒氏管畸形，可以描述为不对称的、纵隔的子宫，有一个不连通的半宫腔。在此，我们报告一例误诊的罗伯特氏子宫，导致了侵入性和不利的手术。
病例介绍
一名 16 岁的女性因痛经和子宫畸形的怀疑被转介到我们科室。我们误诊罗伯特氏子宫为单侧子宫，伴有不连通的残角子宫和宫腔积血，并进行了腹腔镜下半子宫切除术。虽然患者的症状得到了缓解，但我们的手术方式使子宫的侧壁变得薄弱，使患者在未来任何一次妊娠中都容易发生子宫破裂。
结论
尽管早期诊断罗伯特氏子宫具有挑战性，但对于确定适当的手术干预和管理以维持生活质量并确保未来妊娠安全是非常重要的。
Zotero 插件