Reviewer’s report
Title: 
Ultrasound combined with hysteroscopy for optimum treatment of
Robert’s uterus: a case report and a review.
Version: 
0 
Date: 
23 Mar 2022
Reviewer's report:
The so-called Robert's uterus (asymmetric uterus septum) may correspond to an
isolated Müllerian anomaly due to segmental atresia of one of the Müllerian
ducts leading to a unicornuate uterus with a contralateral cavitated uterine horn,
but it is often a mesonephric anomaly with unilateral cervicovaginal atresia and
ipsilateral renal agenesis (see Hum Reprod Update 17/5:693-705, 2011; and "The
presentation and management of complex female genital malformations" in
Human Reproduction Update, 22/1: 48-69, 2016; and Yang QM et al-IIMR-
2019) and attempts at surgical correction can cause serious problems. Review the
literature and see that many published cases show associated renal agenesis.
Therefore, the need to investigate the urinary system should be emphasized in
the introduction.
In this case presentation, "No abnormalities were found in the urinary system or
pelvic region" is indicated, but I think that is not enough.. The image in your
Figure 2 may also correspond to unilateral cervicovaginal atresia.
In the comments they should also point out that in cases with renal agenesis and
cervicovaginal atresia without communicating uterus, hemihysterectomy is
recommended. The differential diagnosis with ACUMs (accessory and cavitated
uterine masses) should also be included.
The references also do not include that of Robert, 1970.
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