Uterine devascularization and subsequent major intrauterine synechiae and ovarian failure.
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.
Roman
Horace
H
Department of Gynecology and Obstetrics, University Hospital Rouen, Rouen, France. horace.roman@libertysurf.fr
Sentilhes
Loïc
L
Cingotti
Michel
M
Verspyck
Eric
E
Marpeau
Loïc
L
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*