Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage Ciaran A. Goojha, M.D., Allison Case, M.D.,

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Presentation transcript:

Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage Ciaran A. Goojha, M.D., Allison Case, M.D., Roger Pierson, M.S., Ph.D. Fertility and Sterility Volume 94, Issue 3, Pages 1098.e1-1098.e5 (August 2010) DOI: 10.1016/j.fertnstert.2010.01.078 Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Illustration of B-Lynch suture. Reproduced with permission from B-Lynch et al. Br J Obstet Gynaecol 1997;104:372–5 Fertility and Sterility 2010 94, 1098.e1-1098.e5DOI: (10.1016/j.fertnstert.2010.01.078) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Ultrasound image of the uterus in saggital plane. The cervix is to the right of the image and the fundus is seen to the left. Collagen reaction from B-Lynch suture visible within myometrium (arrow). Fertility and Sterility 2010 94, 1098.e1-1098.e5DOI: (10.1016/j.fertnstert.2010.01.078) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Uterine artery located with Doppler and measured ultrasound. Uterine artery diameter <50% of normal value bilaterally. Fertility and Sterility 2010 94, 1098.e1-1098.e5DOI: (10.1016/j.fertnstert.2010.01.078) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 4 Doppler ultrasound examination of endometrial cavity. Minimal perfusion to endometrium. Fertility and Sterility 2010 94, 1098.e1-1098.e5DOI: (10.1016/j.fertnstert.2010.01.078) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions