The older obstetric patient. Obstet Gynaecol Reprod Med ; Trends in Europe and North America. The statistical yearbook of the Economic Commission for Europe Consultado: septiembre 2,
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There is a tendency for the condition to develop soon after pregnancy usually within four months 9. The incidence is thought to be increasing probably as a result of increased use of intrauterine interventions. Patients may present with infertility, pregnancy loss, menstrual abnormalities e. Intrauterine adhesions result secondary to trauma to the basal layer of the endometrium with subsequent scarring 1. This may be from a previous pregnancy, dilation, and curettage, surgery, or infection e.
The adhesions are composed of fibromuscular-connective tissue bands with or without surrounding superficial epithelial cells or glandular tissue. In severe cases, there can even be complete non-filling of the uterine cavity.
May be seen as bands traversing through the endometrial cavity. Sonohysterography can demonstrate hyperechoic band adhesions across the uterine cavity The goal of therapy is to remove adhesions and subsequently restore the normal size and shape of the uterine cavity.
This is most commonly done by lysis of adhesions via hysteroscopy 3. The reproductive outcome correlates with the type of adhesions and extent of uterine cavity occlusion. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait.
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Asherman's syndrome: a critique and current review. Promoted articles advertising. Edit article Share article View revision history Report problem with Article. URL of Article. Article information. System: Gynaecology. Section: Syndromes. Tags: uterine synechiae , intrauterine adhesions , uterus. Support Radiopaedia and see fewer ads. Cases and figures. Case 1 Case 1.
Case 2 Case 2. Case 3: adhesion band : mimicking a septate uterus Case 3: adhesion band : mimicking a septate uterus. Case 4 Case 4. Case 5 Case 5. Uterine synechiae Uterine synechiae. Loading more images Close Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Loading Stack - 0 images remaining.
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AS can be the cause of menstrual disturbances, infertility, and placental abnormalities. Although the first case of intrauterine adhesion was published in by Heinrich Fritsch, it was only after 54 years that a full description of Asherman syndrome was carried out by Joseph Asherman. There isn't any one cause of AS. Risk factors can include myomectomy , Cesarean section , infections, age, genital tuberculosis, and obesity. Genetic predisposition to AS is being investigated.
What Is Asherman Syndrome?
NCBI Bookshelf. Collin Smikle ; Shailesh Khetarpal. It may occur with or without hemorrhage after delivery or elective termination of pregnancy. Less often, it results after a dilation and curettage for a non-obstetrical procedure for excessive bleeding, sampling for endometrial cancer, or removal of endometrial polyps. It can also occur after surgery to remove uterine fibroids. In patients with persistent excessive uterine bleeding hypermenorrhea , specific procedures to create these adhesions throughout the uterine cavity is the desired goal to control the bleeding. In the developing world, it may also occur due to infections from schistosomiasis or tuberculosis.
There is a tendency for the condition to develop soon after pregnancy usually within four months 9. The incidence is thought to be increasing probably as a result of increased use of intrauterine interventions. Patients may present with infertility, pregnancy loss, menstrual abnormalities e. Intrauterine adhesions result secondary to trauma to the basal layer of the endometrium with subsequent scarring 1.