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Synechiae
Anne M. Kennedy, MD; Roya Sohaey, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Amniotic sheets
            • Definitions

              • Uterine adhesions result from scarring
                • Synechia covered by amnion and chorion
                • Form complete or incomplete amniotic sheets across uterine cavity

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                Selected References

                                1. Ahmadi F et al: Role of 3D sonohysterography in the investigation of uterine synechiae/asherman's syndrome: pictorial assay. J Med Imaging Radiat Oncol. 58(2):199-202, 2014
                                2. Sato M et al: Antenatal 3-D sonographic features of uterine synechia. J Obstet Gynaecol Res. 39(1):395-8, 2013
                                3. Tuuli MG et al: Uterine synechiae and pregnancy complications. Obstet Gynecol. 119(4):810-4, 2012
                                4. AAGL Advancing Minimally Invasive Gynecology Worldwide: AAGL practice report: practice guidelines for management of intrauterine synechiae. J Minim Invasive Gynecol. 17(1):1-7, 2010
                                5. Deans R et al: Review of intrauterine adhesions. J Minim Invasive Gynecol. 17(5):555-69, 2010
                                6. Thomson AJ et al: The management of intrauterine synechiae. Curr Opin Obstet Gynecol. 21(4):335-41, 2009
                                7. Pabuccu R et al: Efficiency and pregnancy outcome of serial intrauterine device-guided hysteroscopic adhesiolysis of intrauterine synechiae. Fertil Steril. 90(5):1973-7, 2008
                                8. Tan KB et al: The amniotic sheet: a truly benign condition? Ultrasound Obstet Gynecol. 26(6):639-43, 2005
                                9. Korbin CD et al: Placental implantation on the amniotic sheet: effect on pregnancy outcome. Radiology. 206(3):773-5, 1998
                                10. Ball RH et al: Clinical significance of sonographically detected uterine synechiae in pregnant patients. J Ultrasound Med. 16(7):465-9, 1997
                                11. Lazebnik N et al: The effect of amniotic sheet orientation on subsequent maternal and fetal complications. Ultrasound Obstet Gynecol. 8(4):267-71, 1996
                                12. Finberg HJ: Uterine synechiae in pregnancy: expanded criteria for recognition and clinical significance in 28 cases. J Ultrasound Med. 10(10):547-55, 1991
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Clinical Issues

                                        • Diagnostic Checklist

                                          TERMINOLOGY

                                          • Synonyms

                                            • Amniotic sheets
                                          • Definitions

                                            • Uterine adhesions result from scarring
                                              • Synechia covered by amnion and chorion
                                              • Form complete or incomplete amniotic sheets across uterine cavity

                                          IMAGING

                                          • General Features

                                            • Ultrasonographic Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    CLINICAL ISSUES

                                                    • Presentation

                                                      • Demographics

                                                        • Natural History & Prognosis

                                                          • Treatment

                                                            DIAGNOSTIC CHECKLIST

                                                            • Consider

                                                              Selected References

                                                              1. Ahmadi F et al: Role of 3D sonohysterography in the investigation of uterine synechiae/asherman's syndrome: pictorial assay. J Med Imaging Radiat Oncol. 58(2):199-202, 2014
                                                              2. Sato M et al: Antenatal 3-D sonographic features of uterine synechia. J Obstet Gynaecol Res. 39(1):395-8, 2013
                                                              3. Tuuli MG et al: Uterine synechiae and pregnancy complications. Obstet Gynecol. 119(4):810-4, 2012
                                                              4. AAGL Advancing Minimally Invasive Gynecology Worldwide: AAGL practice report: practice guidelines for management of intrauterine synechiae. J Minim Invasive Gynecol. 17(1):1-7, 2010
                                                              5. Deans R et al: Review of intrauterine adhesions. J Minim Invasive Gynecol. 17(5):555-69, 2010
                                                              6. Thomson AJ et al: The management of intrauterine synechiae. Curr Opin Obstet Gynecol. 21(4):335-41, 2009
                                                              7. Pabuccu R et al: Efficiency and pregnancy outcome of serial intrauterine device-guided hysteroscopic adhesiolysis of intrauterine synechiae. Fertil Steril. 90(5):1973-7, 2008
                                                              8. Tan KB et al: The amniotic sheet: a truly benign condition? Ultrasound Obstet Gynecol. 26(6):639-43, 2005
                                                              9. Korbin CD et al: Placental implantation on the amniotic sheet: effect on pregnancy outcome. Radiology. 206(3):773-5, 1998
                                                              10. Ball RH et al: Clinical significance of sonographically detected uterine synechiae in pregnant patients. J Ultrasound Med. 16(7):465-9, 1997
                                                              11. Lazebnik N et al: The effect of amniotic sheet orientation on subsequent maternal and fetal complications. Ultrasound Obstet Gynecol. 8(4):267-71, 1996
                                                              12. Finberg HJ: Uterine synechiae in pregnancy: expanded criteria for recognition and clinical significance in 28 cases. J Ultrasound Med. 10(10):547-55, 1991