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Uterine devascularization and subsequent major intrauterine synechiae and ovarian failure
Horace Roman1, Loïc Sentilhes, Michel Cingotti
1Department of Gynecology and Obstetrics, University Hospital Rouen, Rouen, France. horace.roman@libertysurf.fr
Objective:
To report a case of major intrauterine synechiae associated with ovarian function failure secondary to uterine devascularization.
Design:
Case report.
Setting:
Departments of gynecology and obstetrics in two hospitals in France.
Patient(S):
A 29-year-old woman, para 1, presenting severe postpartum hemorrhage.
Intervention(S):
Bilateral uterine, round ligament, utero-ovarian, and ovarian arteries ligation.
Main Outcome Measure(S):
Clinical and hormonal status, computed tomography scan, hysterosalpingography, laparoscopy, hysteroscopy, and histological examination.
Result(S):
Twelve months after uterine devascularization, the patient presented major intrauterine synechiae, absence of endometrium, and ovarian function failure.
Conclusion(S):
Uterine devascularization may be responsible for infertility as a result of intrauterine synechiae and ovarian function failure.
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