Detection of Asherman's syndrome after conservative management of placenta accreta: A case report

被引：6

作者：

Chikazawa K. ^{[1
]}

Imai K. ^{[1
]}

Liangcheng W. ^{[1
]}

Sasaki S. ^{[1
]}

Horiuchi I. ^{[1
]}

Kuwata T. ^{[1
]}

Takagi K. ^{[1
]}

机构：

[1] Perinatal Center, Division of Maternal Fetal Medicine, Saitama Medical Center, Jichi Medical University, 1-847, Amanuma-cho, Omiya-ku, Saitama

来源：

Journal of Medical Case Reports | / 12卷 / 1期

关键词：

Asherman's syndrome; Conservative management; Placenta accreta;

D O I：

10.1186/s13256-018-1869-7

中图分类号：

学科分类号：

摘要：

Background: We present a case involving conservative treatment of placenta accreta, with a subsequent diagnosis of Asherman's syndrome. Case presentation: A 41-year-old Japanese woman (G2P0A2) delivered a healthy male infant via cesarean section due to preeclampsia. The placenta did not spontaneously separate and was manually removed. Adhesion was tight and placenta accreta was diagnosed. During the procedure, no uterine inversion or perforation, and no uterine cavity adhesion, were observed. Four months postoperatively, hysteroscopy was performed. Adhesion was detected at the fundus of her uterus where the placenta had adhered to the uterus. Asherman's syndrome was diagnosed. Conclusions: Asherman's syndrome might occur after conservative management of placenta accreta, which may be a direct cause of placenta accreta recurrence. When Asherman's syndrome is diagnosed, the site of the placenta and adhesion should be monitored during subsequent pregnancies. © 2018 The Author(s).

引用

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