Published online Nov 16, 2022. doi: 10.12998/wjcc.v10.i32.11949
Peer-review started: July 13, 2022
First decision: September 5, 2022
Revised: September 27, 2022
Accepted: October 9, 2022
Article in press: October 9, 2022
Published online: November 16, 2022
Processing time: 117 Days and 14.9 Hours
Asherman’s syndrome is characterized by reduced menstrual volume and adhesions within the uterine cavity and cervix, resulting in inability to carry a pregnancy to term, placental malformation, or infertility. We present the case of a 40-year-old woman diagnosed with Asherman’s syndrome who successfully gave birth to a live full-term neonate after hysteroscopic adhesiolysis under laparoscopic observation, intrauterine device insertion, and Kaufmann therapy.
A 40-year-old woman (Gravida 3, Para 0) arrived at our hospital for specialist care to carry her pregnancy to term. She had previously undergone six sessions of dilation and curettage owing to a hydatidiform mole and persistent trophoblastic disease, followed by chemotherapy. She subsequently became pregnant twice, but both pregnancies resulted in spontaneous miscarriages during the first trimester. Her menstrual periods were very light and of short duration. Hysteroscopic adhesiolysis with concurrent laparoscopy was performed, and Asherman’s syndrome was diagnosed. The uterine adhesions covered the area from the in
Hysteroscopic adhesiolysis with concurrent laparoscopy enables identification and resection of the affected area and safe and accurate surgery, without complications.
Core Tip: Adhesion dissection under laparoscopic monitoring in Asherman's syndrome is useful not only for avoiding the risk of surgical complications such as uterine perforation, but also for intraperitoneal observation to investigate the cause of infertility. Kaufman therapy and the use of an indwelling intrauterine device were useful for preventing postoperative recurrence of intrauterine adhesions.