Presentation
Two previous cesarian sections, one dilatation and curettage, she presents with with secondary infertility, oligomenorrhea, and galactorrhea.
Patient Data
Endometrium reveals an interrupted line in sagittal plane (endometrial "kinking"), there is indistinct lower segment endo-myometrial junction, endometrial free fluid and punctuate echogenic foci.
Case Discussion
In Asherman's syndrome/uterine synechiae, adhesions develop as a result of endometrial injury due to dilatation and curettage, other uterine surgical procedures or infection for example TB endometritis. Symptoms include repeated miscarriages, amenorrhea and infertility.