The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

Placenta acreta following hysteroscopic treatment of Asherman syndrome after one uncomplicated cesarean section: a case report

Document Type : Case report

Authors
Leili Hafizi 1
Malihe Mahmoudinia 2
Masoumeh Noori 3
1 Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/ijogi.2019.14195
Abstract
Introduction: Asherman syndrome (uterine adhesion) occurs due to injuries to the basal layer of endometrium that is usually caused following surgeries of uterine such as curettage and myomectomy. In the next pregnancy, obstetrical complications such as abortion, placenta pravia and acreta may be increased.
Case presentation: In this study, a case of amenorrhea after one uncomplicated caesarean section is reported. She had spontaneous pregnancy after treatment with three times histroscopy. In the next pregnancy, she developed severe adhesion to the myometrium, resulting in severe hemorrhage and hysterectomy. 
Conclusion: Ashman syndrome may be caused following an uncomplicated cesarean section and may increase the chance of obstetrical complications in next pregnancy.
Keywords
Asherman syndrome
Cesarean section
Hysteroscopy
Placenta acreta
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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 22, Issue 10
December 2019
Pages 86-90