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Intrauterine adhesions

Case contributed by Matt A. Morgan
Diagnosis almost certain

Presentation

Work up for secondary infertility.

Patient Data

Age: 30 years
Gender: Female
Fluoroscopy

There is a filling defect low in the uterine cavity, extending toward the cervix, compatible with an intrauterine adhesion. 

The fallopian tubes fill and spill normally, with normal dispersion of contrast in the abdominal cavity.

Case Discussion

Intrauterine adhesions may range from a few strand-like connections in the uterine cavity to complete obliteration of the cavity. The main risk factor for developing adhesions is prior instrumentation (e.g. curettage), although uterine infection may also play a role.

"Asherman syndrome" is synonymous with a symptomatic intra-uterine adhesion.

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