Fertility and Sterility
Volume 94, Issue 3 , Pages 1098.e1-1098.e5, August 2010

Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage

Presented as a poster at the Canadian Fertility and Andrology Society Annual Clinical Meeting, Ottawa, Canada, November 2006: Goojha CA, Case AM, Baerwald AR, Pierson RA. B Lynch suture: a fertility preserving procedure?

  • Ciaran A. Goojha, M.D.

      Affiliations

    • Corresponding Author InformationReprint requests: Dr. Ciaran A. Goojha, M.D., Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Saskatchewan, Royal University Hospital, 103 Hospital Drive, Saskatoon, Saskatchewan S7N 0W8, Canada (FAX: 306-966-8040).
    • ,
  • Allison Case, M.D.
    • ,
  • Roger Pierson, M.S., Ph.D.

Department of Obstetrics, Gynecology, and Reproductive Sciences, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

Received 27 October 2009; received in revised form 27 January 2010; accepted 28 January 2010. published online 26 March 2010.

Objective

Describe a case of secondary infertility due to the development of severe Asherman Syndrome after the B-Lynch compression suture and uterine artery ligation, and to review the B-Lynch technique and documented complications.

Design

Case report.

Setting

Tertiary care hospital.

Patient(s)

A 29-year-old primigravida patient.

Intervention(s)

B-Lynch suture and uterine artery ligation.

Main Outcome Measure(s)

Development of Asherman syndrome.

Result(s)

Development of secondary infertility due to Asherman syndrome after the B-Lynch suture.

Conclusion(s)

The B-Lynch suture is a highly successful conservative surgical technique used to treat this condition. There is little information regarding any potential for compromised future fertility, although there have been several reports of successful pregnancy after the use of the B-Lynch compression suture. In this report, we present a case of Asherman syndrome with complete obliteration of the uterine cavity after the B-Lynch suture.

Key Words: Asherman syndrome, B-Lynch technique, complication, postpartum hemorrhage, secondary infertility, uterine atony

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 C.G. has nothing to disclose. A.C. has nothing to disclose. R.P. has nothing to disclose.

PII: S0015-0282(10)00153-6

doi:10.1016/j.fertnstert.2010.01.078

Fertility and Sterility
Volume 94, Issue 3 , Pages 1098.e1-1098.e5, August 2010

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