{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T18:17:32Z","timestamp":1790878652878,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,10,5]],"date-time":"2016-10-05T00:00:00Z","timestamp":1475625600000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Robert's uterus is a unique malformation, described as a septate uterus with a non\u2010communicating hemicavity, consisting of a blind uterine horn usually with unilateral hematometra, a contralateral unicornuate uterine cavity and a normally shaped external uterine fundus. The main symptom in affected young women is pelvic pain that becomes intensified near menses. We describe the case of a 22\u2010year\u2010old woman who was referred for diagnostic assessment and treatment of a congenital uterine anomaly. We used three\u2010dimensional sonohysterography with volume\u2010contrast imaging, HDLive rendering mode and automatic volume calculation (SonoHysteroAVC) for the diagnosis, surgical planning and postoperative evaluation. These imaging techniques provided a complete understanding of the internal and external uterine structures, enabling us to perform a minimally invasive hysteroscopic metroplasty, guided by transrectal ultrasound, and therefore avoiding the need for laparotomy\/laparoscopy. The outcome of treatment was considered satisfactory; menstruation ceased to be painful and, after two hysteroscopic procedures, the communicating 0.3\u2010cm<jats:sup>3<\/jats:sup> hemicavity was visualized as a 3.6\u2010cm<jats:sup>3<\/jats:sup> normalized uterine cavity using the same imaging techniques. The findings of this case report raise questions about the embryological origin of Robert's uterus, the suitability of current classification systems, and the role of more invasive approaches (laparoscopy\/laparotomy) and surgical procedures (horn resection\/endometrectomy) that do not aim to improve uterine cavity shape and volume in women with this condition. Copyright \u00a9 2016 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p>","DOI":"10.1002\/uog.15976","type":"journal-article","created":{"date-parts":[[2016,5,31]],"date-time":"2016-05-31T08:58:42Z","timestamp":1464685122000},"page":"526-529","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Robert's uterus: modern imaging techniques and ultrasound\u2010guided hysteroscopic treatment without laparoscopy or laparotomy"],"prefix":"10.1002","volume":"48","author":[{"given":"A.","family":"Ludwin","sequence":"first","affiliation":[{"name":"Department of Gynecology and Oncology Jagiellonian University  Krakow Poland"},{"name":"Ludwin &amp; Ludwin Gynecology Private Medical Center  Krakow Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Ludwin","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Oncology Jagiellonian University  Krakow Poland"},{"name":"Ludwin &amp; Ludwin Gynecology Private Medical Center  Krakow Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. P.","family":"Martins","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ribeirao Preto Medical School University of Sao Paulo  Ribeirao Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,5]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15890"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.05.001"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deu110"},{"key":"e_1_2_3_5_1","article-title":"[Septate uterus with blind cavity without hematometra]","volume":"39","author":"Robert HG","year":"1969","journal-title":"CR Soc Fr Gynecol"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12735"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2015.09.006"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2008.03.004"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-007-0389-2"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2014.01.039"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2014.04.010"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2016.02.010"},{"key":"e_1_2_3_13_1","doi-asserted-by":"crossref","first-page":"2171","DOI":"10.1093\/oxfordjournals.humrep.a136256","article-title":"Endoscopic management of a case of \u2018complete septate uterus with unilateral haematometra\u2019","volume":"10","author":"Perino A","year":"1995","journal-title":"Hum Reprod"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmv048"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dev061"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deu344"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.15976","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.15976","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T14:19:32Z","timestamp":1694873972000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.15976"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,10]]}},"alternative-id":["10.1002\/uog.15976"],"URL":"https:\/\/doi.org\/10.1002\/uog.15976","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10]]},"assertion":[{"value":"2016-03-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-05-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-10-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}