Intrauterine adhesions

Case contributed by Dr Matt A. Morgan

Presentation

Work up for secondary infertility.

Patient Data

Age: 25-30
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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Case information

rID: 40138
Case created: 9th Oct 2015
Last edited: 26th Oct 2017
System: Gynaecology
Tags: uterus, hsg
Inclusion in quiz mode: Included

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