Detection of Asherman’s syndrome after conservative management of placenta accreta: a case report
Abstract 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 spont...
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| Format: | Article |
| Language: | English |
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BMC
2018-11-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13256-018-1869-7 |
| _version_ | 1818236551800291328 |
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| author | Kenro Chikazawa Ken Imai Wang Liangcheng Shigetane Sasaki Isao Horiuchi Tomoyuki Kuwata Kenjiro Takagi |
| author_facet | Kenro Chikazawa Ken Imai Wang Liangcheng Shigetane Sasaki Isao Horiuchi Tomoyuki Kuwata Kenjiro Takagi |
| author_sort | Kenro Chikazawa |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-12T12:11:40Z |
| format | Article |
| id | doaj.art-b8a7db75897d424689d258676baae95c |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-12T12:11:40Z |
| publishDate | 2018-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-b8a7db75897d424689d258676baae95c2022-12-22T00:24:52ZengBMCJournal of Medical Case Reports1752-19472018-11-011211310.1186/s13256-018-1869-7Detection of Asherman’s syndrome after conservative management of placenta accreta: a case reportKenro Chikazawa0Ken Imai1Wang Liangcheng2Shigetane Sasaki3Isao Horiuchi4Tomoyuki Kuwata5Kenjiro Takagi6Perinatal Center, Division of Maternal Fetal Medicine, Saitama Medical Center, Jichi Medical UniversityPerinatal Center, Division of Maternal Fetal Medicine, Saitama Medical Center, Jichi Medical UniversityPerinatal Center, Division of Maternal Fetal Medicine, Saitama Medical Center, Jichi Medical UniversityPerinatal Center, Division of Maternal Fetal Medicine, Saitama Medical Center, Jichi Medical UniversityPerinatal Center, Division of Maternal Fetal Medicine, Saitama Medical Center, Jichi Medical UniversityPerinatal Center, Division of Maternal Fetal Medicine, Saitama Medical Center, Jichi Medical UniversityPerinatal Center, Division of Maternal Fetal Medicine, Saitama Medical Center, Jichi Medical UniversityAbstract 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.http://link.springer.com/article/10.1186/s13256-018-1869-7Placenta accretaConservative managementAsherman’s syndrome |
| spellingShingle | Kenro Chikazawa Ken Imai Wang Liangcheng Shigetane Sasaki Isao Horiuchi Tomoyuki Kuwata Kenjiro Takagi Detection of Asherman’s syndrome after conservative management of placenta accreta: a case report Journal of Medical Case Reports Placenta accreta Conservative management Asherman’s syndrome |
| title | Detection of Asherman’s syndrome after conservative management of placenta accreta: a case report |
| title_full | Detection of Asherman’s syndrome after conservative management of placenta accreta: a case report |
| title_fullStr | Detection of Asherman’s syndrome after conservative management of placenta accreta: a case report |
| title_full_unstemmed | Detection of Asherman’s syndrome after conservative management of placenta accreta: a case report |
| title_short | Detection of Asherman’s syndrome after conservative management of placenta accreta: a case report |
| title_sort | detection of asherman s syndrome after conservative management of placenta accreta a case report |
| topic | Placenta accreta Conservative management Asherman’s syndrome |
| url | http://link.springer.com/article/10.1186/s13256-018-1869-7 |
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