IS case 505: Uterine synechiae

Aharon Wolf, MD

University of Rochester


Imaging Sciences URMC 2010
Publication Date: 2010-09-10

History

Patient is a 42-year-old female with infertility.

Findings

Single linear lucency was present at the right uterine horn that may represent a web or synechiae.

Diagnosis

Uterine synechiae

Discussion

Joseph Asherman first described intrauterine adhesions in 1948 commonly referred to as Asherman's syndrome and intrauterine synechiae. The syndrome is characterized by symptoms ranging from amenorrhea to menstrual disturbance and is frequently associated with infertility. Most cases are associated with trauma to the endometrium from surgical procedures such as curettage.

References

  1. Berman JM. Intrauterine adhesions. Semin Reprod Med. 2008 Jul;26(4):349-55. PMID: 18756412
  2. Asherman JG. Amenorrhea traumatica (atretica). J Obstet Gynaec Brit Emp 1948;55:23.

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