title: Uterine devascularization and subsequent major intrauterine synechiae and ovarian failure.
abstract: OBJECTIVE
  To report a case of major intrauterine synechiae associated with ovarian function failure secondary to uterine devascularization.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Departments of gynecology and obstetrics in two hospitals in France.
  
  
  METHODS
  A 29-year-old woman, para 1, presenting severe postpartum hemorrhage.
  
  
  METHODS
  Bilateral uterine, round ligament, utero-ovarian, and ovarian arteries ligation.
  
  
  METHODS
  Clinical and hormonal status, computed tomography scan, hysterosalpingography, laparoscopy, hysteroscopy, and histological examination.
  
  
  RESULTS
  Twelve months after uterine devascularization, the patient presented major intrauterine synechiae, absence of endometrium, and ovarian function failure.
  
  
  CONCLUSIONS
  Uterine devascularization may be responsible for infertility as a result of intrauterine synechiae and ovarian function failure.
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital Rouen, Rouen, France. horace.roman@libertysurf.fr
authors.forename: Horace
authors.initials: H
authors.lastname: Roman
authors.forename: Loïc
authors.initials: L
authors.lastname: Sentilhes
authors.forename: Michel
authors.initials: M
authors.lastname: Cingotti
authors.forename: Eric
authors.initials: E
authors.lastname: Verspyck
authors.forename: Loïc
authors.initials: L
authors.lastname: Marpeau
mesh_terms: D000328:Adult; D005260:Female; D006488:Hemostasis, Surgical / Q000009:adverse effects*; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000000981:diagnostic imaging / Q000209:etiology*; D008026:Ligation; D006473:Postpartum Hemorrhage / Q000601:surgery*; D016649:Primary Ovarian Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D014599:Uterus / Q000098:blood supply*