{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T05:35:52Z","timestamp":1771306552037,"version":"3.50.1"},"reference-count":13,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,12,14]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Two patients of early adolescence age presented with medically resistant primary dysmenorrhoea. Imaging (MRI scan) confirmed an asymmetric uterine septum with a unilaterally obstructed horn with haematometra. Laparotomy and Tompkins metroplasty was performed to unify the uterine cavity in each case, a technique not used for this condition before. Dysmenorrhoea resolved postoperatively. One patient got pregnant spontaneously 3.5 years later and was delivered by emergency caesarean section at 36 weeks of gestation. There are five reported cases of pregnancy after treatment for a Robert\u2019s uterus, none after Tompkins metroplasty. Primary dysmenorrhoea needs investigation with imaging when it does not respond to simple medical treatment. Resection of the septum hysteroscopically or via a laparotomy and a hysterotomy have been reported before, but Tompkins metroplasty offers the advantage of using the uterine septal tissue in the repair rather than resecting it. This is especially relevant if the septum is thick.<\/jats:p>","DOI":"10.1136\/bcr-2024-261699","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T09:45:23Z","timestamp":1736243123000},"page":"e261699","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Pregnancy after Tompkins metroplasty for Robert\u2019s uterus"],"prefix":"10.1136","volume":"18","author":[{"given":"Sarmad","family":"Khunda","sequence":"first","affiliation":[{"name":"Obstetrics & Gynaecology, Baghdad College of Medical Sciences, Baghdad, Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rasha","family":"Abas","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynaecology, Baghdad Medical City, Baghdad, Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4574-9675","authenticated-orcid":false,"given":"Aethele","family":"Khunda","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"2025082709244301000_18.1.e261699.1","first-page":"796","article-title":"Les bifidit\u00e9s asym\u00e9triques avec r\u00e9tention menstruelle unilat\u00e9rale (a propos de douze cas) [Asymmetrical bifidities with unilateral menstrual retention (apropos of l2 cases)]","volume":"96","author":"Robert","year":"1970","journal-title":"Chir"},{"key":"2025082709244301000_18.1.e261699.2","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2024.1434957","article-title":"Diagnosis and treatment of Robert\u2019s uterus combined with transverse uterine septum: a case report and review of the literature","volume":"11","author":"Chen","year":"2024","journal-title":"Front Med (Lausanne)"},{"key":"2025082709244301000_18.1.e261699.3","doi-asserted-by":"crossref","DOI":"10.3389\/frph.2023.1197931","article-title":"Accessory and cavitated uterine masses: a case series and review of the literature","volume":"5","author":"Dekkiche","year":"2023","journal-title":"Front Reprod Health"},{"key":"2025082709244301000_18.1.e261699.4","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1016\/j.fertnstert.2021.09.025","article-title":"ASRM m\u00fcllerian anomalies classification 2021","volume":"116","author":"Pfeifer","year":"2021","journal-title":"Fertil Steril"},{"key":"2025082709244301000_18.1.e261699.5","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1002\/uog.24905","article-title":"ASRM M\u00fcllerian Anomalies Classification 2021: a critical review","volume":"60","author":"Ludwin","year":"2022","journal-title":"Ultrasound Obstet 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uterus","volume":"31","author":"Vural","year":"2011","journal-title":"J Obstet Gynaecol"},{"key":"2025082709244301000_18.1.e261699.10","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1111\/jog.12735","article-title":"Hysteroscopic treatment of Robert\u2019s uterus with laparoscopy","volume":"41","author":"Li","year":"2015","journal-title":"J Obstet Gynaecol Res"},{"key":"2025082709244301000_18.1.e261699.11","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1002\/ijgo.13274","article-title":"Favorable pregnancy outcome for a patient with Robert\u2019s uterus, bicornuate uterus, and ipsilateral renal agenesis","volume":"151","author":"Liu","year":"2020","journal-title":"Int J Gynaecol Obstet"},{"key":"2025082709244301000_18.1.e261699.12","doi-asserted-by":"crossref","first-page":"S192","DOI":"10.1016\/j.jmig.2015.08.702","article-title":"Eleven Cases Robert\u2019s Uterus Treated by Hysteroscopy and Laparoscopy Successfully Delivered in 1 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