Asherman syndrome caused by schistosomiasis.
BACKGROUND
Rare causes of Asherman syndrome include infections of the endometrium, such as tuberculosis and schistosomiasis.


METHODS
A 27-year-old Zulu woman, para 1, presented with secondary amenorrhea after an uncomplicated cesarean delivery. Hormone levels were in the normal ranges. Laparoscopy revealed some pelvic adhesions with patent fallopian tubes, and biopsy of the ovary showed schistosomiasis. Diagnostic D&C revealed a uterine cavity partially obliterated by adhesions. The patient was treated with praziquantel.


CONCLUSIONS
Schistosomiasis should be considered as a possible cause of infertility and Asherman syndrome in those parts of the world where it is endemic.
Krolikowski
A
A
Eshowe Hospital, Eshowe, South Africa.
Janowski
K
K
Larsen
J V
JV
D000328:Adult; D000568:Amenorrhea / Q000209:etiology*; D002585:Cesarean Section; D005187:Fallopian Tubes / Q000469:parasitology; D005260:Female; D006801:Humans; D010049:Ovarian Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology*; D011183:Postoperative Complications; D011223:Praziquantel / Q000627:therapeutic use; D011247:Pregnancy; D012552:Schistosomiasis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013019:South Africa; D013577:Syndrome; D000267:Tissue Adhesions; D014591:Uterine Diseases / Q000188:drug therapy / Q000209:etiology* / Q000469:parasitology
D011223:Praziquantel