Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage.

Abstract

OBJECTIVE:

Describe a case of secondary infertility due to the development of severe Asherman Syndrome after the B-Lynch compression suture and uterine artery ligation, and to review the B-Lynch technique and documented complications.

DESIGN:

Case report.

SETTING:

Tertiary care hospital.

PATIENT(S):

A 29-year-old primigravida patient.

INTERVENTION(S):

B-Lynch suture and uterine artery ligation.

MAIN OUTCOME MEASURE(S):

Development of Asherman syndrome.

RESULT(S):

Development of secondary infertility due to Asherman syndrome after the B-Lynch suture.

CONCLUSION(S):

The B-Lynch suture is a highly successful conservative surgical technique used to treat this condition. There is little information regarding any potential for compromised future fertility, although there have been several reports of successful pregnancy after the use of the B-Lynch compression suture. In this report, we present a case of Asherman syndrome with complete obliteration of the uterine cavity after the B-Lynch suture.

• Authors: Ciaran A Goojha, Allison Case, Roger Pierson
• Journal: Fertility and sterility (Fertil Steril) Vol. 94 Issue 3 Pg. 1098.e1-5 (Aug 2010) ISSN: 1556-5653 [Electronic] United States
• PMID: 20347081 (Publication Type: Case Reports, Journal Article, Review)
• Copyright: Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

Topics

• Adult
• Female
• Gynatresia (etiology)
• Gynecologic Surgical Procedures (adverse effects)
• Humans
• Ligation
• Postoperative Complications (diagnosis)
• Postpartum Hemorrhage (surgery)
• Pregnancy
• Suture Techniques (adverse effects)
• Uterine Artery (surgery)