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

• Main Authors: Leili Hafizi (Author), Malihe Mahmoudinia (Author), Masoumeh Noori (Author)
• Format: Book
• Published: Mashhad University of Medical Sciences, 2019-12-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1680-2993; 2008-2363; 10.22038/ijogi.2019.14195
• Keywords: asherman syndrome; cesarean section; hysteroscopy; placenta acreta; Gynecology and obstetrics; RG1-991
• Source: Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān, Vol 22, Iss 10, Pp 86-90 (2019)

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.