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Synechiae
Roya Sohaey, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Amniotic sheets
            • Definitions

              • Endometrial scarring leads to uterine adhesions (synechiae)
                • Expanding chorion and amnion fold around synechiae
                • Form complete or incomplete amniotic sheets

            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. Feng Q et al: Obstetrical outcome in the third trimester after hysteroscopic adhesiolysis. Ann Transl Med. 8(4):51, 2020
                                2. Huang XW et al: A prospective randomized controlled trial comparing two different treatments of intrauterine adhesions. Reprod Biomed Online. 40(6):835-41, 2020
                                3. Dreisler E et al: Asherman's syndrome: current perspectives on diagnosis and management. Int J Womens Health. 11:191-8, 2019
                                4. Baradwan S et al: The birth weight in pregnant women with Asherman syndrome compared to normal intrauterine cavity: a case-control study. Medicine (Baltimore). 97(32):e11797, 2018
                                5. Jensen KK et al: Intrauterine linear echogenicities in the gravid uterus: what radiologists should know. Radiographics. 38(2):642-57, 2018
                                6. Cho HJ: An intrauterine fetal death due to horizontal uterine synechia. Taiwan J Obstet Gynecol. 56(3):406-7, 2017
                                7. 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
                                8. Sato M et al: Antenatal 3-D sonographic features of uterine synechia. J Obstet Gynaecol Res. 39(1):395-8, 2013
                                9. Tuuli MG et al: Uterine synechiae and pregnancy complications. Obstet Gynecol. 119(4):810-4, 2012
                                10. 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
                                11. Deans R et al: Review of intrauterine adhesions. J Minim Invasive Gynecol. 17(5):555-69, 2010
                                12. Thomson AJ et al: The management of intrauterine synechiae. Curr Opin Obstet Gynecol. 21(4):335-41, 2009
                                13. 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
                                14. Tan KB et al: The amniotic sheet: a truly benign condition? Ultrasound Obstet Gynecol. 26(6):639-43, 2005
                                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

                                            • Endometrial scarring leads to uterine adhesions (synechiae)
                                              • Expanding chorion and amnion fold around synechiae
                                              • Form complete or incomplete amniotic sheets

                                          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. Feng Q et al: Obstetrical outcome in the third trimester after hysteroscopic adhesiolysis. Ann Transl Med. 8(4):51, 2020
                                                              2. Huang XW et al: A prospective randomized controlled trial comparing two different treatments of intrauterine adhesions. Reprod Biomed Online. 40(6):835-41, 2020
                                                              3. Dreisler E et al: Asherman's syndrome: current perspectives on diagnosis and management. Int J Womens Health. 11:191-8, 2019
                                                              4. Baradwan S et al: The birth weight in pregnant women with Asherman syndrome compared to normal intrauterine cavity: a case-control study. Medicine (Baltimore). 97(32):e11797, 2018
                                                              5. Jensen KK et al: Intrauterine linear echogenicities in the gravid uterus: what radiologists should know. Radiographics. 38(2):642-57, 2018
                                                              6. Cho HJ: An intrauterine fetal death due to horizontal uterine synechia. Taiwan J Obstet Gynecol. 56(3):406-7, 2017
                                                              7. 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
                                                              8. Sato M et al: Antenatal 3-D sonographic features of uterine synechia. J Obstet Gynaecol Res. 39(1):395-8, 2013
                                                              9. Tuuli MG et al: Uterine synechiae and pregnancy complications. Obstet Gynecol. 119(4):810-4, 2012
                                                              10. 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
                                                              11. Deans R et al: Review of intrauterine adhesions. J Minim Invasive Gynecol. 17(5):555-69, 2010
                                                              12. Thomson AJ et al: The management of intrauterine synechiae. Curr Opin Obstet Gynecol. 21(4):335-41, 2009
                                                              13. 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
                                                              14. Tan KB et al: The amniotic sheet: a truly benign condition? Ultrasound Obstet Gynecol. 26(6):639-43, 2005