Gynecology Department, Xuan Cheng People's Hospital, Xuan Cheng, An hui Province, China.
BMC Womens Health. 2024 Aug 8;24(1):450. doi: 10.1186/s12905-024-03286-7.
To provide a method for the differential diagnosis of Robert's uterus with adenomyosis, a rare uterine malformation, and determine the best course of treatment.
A patient who had Robert's uterus with adenomyosis was admitted to our hospital in December 2022. We analyzed and summarized her case .
Our patient complained of progressively worsening primary dysmenorrhea over the course of 3 years and lower abdominal pain lasting for 2 days. Her carbohydrate antigen 125 (CA125) level was 372.10 U/mL. Examinations conducted by several hospitals indicated that she had a single-horned uterus and a residual horned uterus, and our hospital's examination identified Robert's uterus. This malformation was corrected by open abdominal surgery. For the procedure, pelvic adhesions were first isolated, after which the closed uterine cavity and adenomyosis were resected. Subsequently, the left ovarian endometriosis cyst was resected and right tubal ligation was performed. After surgery, three injections of gonadotropin-releasing hormone A (GnRH-A) were administered, which lowered the patient's CA125 level to 14 U/mL and normalized her condition.
We pioneered a new therapeutic approach for the treatment of Robert's uterus with adenomyosis. Some valuable references are provided for clinical practice.
为罕见的子宫畸形——Robert 子宫伴腺肌病的鉴别诊断提供一种方法，并确定最佳治疗方案。
我们于 2022 年 12 月收治了 1 例 Robert 子宫伴腺肌病患者，对其病例进行了分析和总结。
患者 3 年来痛经进行性加重，2 天前出现下腹疼痛，糖类抗原 125（CA125）水平为 372.10 U/mL。多家医院检查均提示单角子宫伴残角子宫，我院检查诊断为 Robert 子宫。该畸形采用开腹手术矫正，先行盆腔粘连松解，切除封闭的宫腔及腺肌症，然后切除左侧卵巢子宫内膜异位囊肿，行右侧输卵管结扎术。术后给予 3 针促性腺激素释放激素 A（GnRH-A）注射，使 CA125 水平降至 14 U/mL，病情缓解。
我们开创了治疗 Robert 子宫伴腺肌病的新方法，为临床实践提供了一些有价值的参考。
