Presentation
Work up for secondary infertility.
Patient Data
Age: 30 years
Gender: Female
From the case:
Intrauterine adhesions
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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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