title: Pregnancy and delivery following sonohysterographic lysis to treat recurrence after hysteroscopic lysis of severe intrauterine adhesions: a case report.
abstract: OBJECTIVE
  To report a patient with sterility secondary to severe intrauterine adhesions who underwent sonohysterographic (SHG) lysis for recurrent adhesions following hysteroscopic lysis, and achieved tubal patency and natural pregnancy leading to term vaginal delivery.
  
  
  METHODS
  Case report.
  
  
  METHODS
  National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
  
  
  METHODS
  A patient with hypomenorrhea and sterility due to postpartum severe intrauterine adhesions.
  
  
  METHODS
  Operative hysteroscopy was performed for the severe intrauterine adhesions, and SHG lysis was performed for each of the recurrent adhesions that had occurred four times.
  
  
  RESULTS
  SHG lysis improved the hypomenorrhea and restored the patency of the occluded fallopian tube. The patient became pregnant, and vaginally delivered a full-term infant.
  
  
  CONCLUSIONS
  This approach may be an option if recurrent adhesions following hysteroscopic lysis occur.
authors.affiliation: Department of Obstetrics and Gynecology, Takanohara Central Hospital, Ukyo, Nara, Japan. ftaniguc@ares.eonet.ne.jp
authors.forename: F
authors.initials: F
authors.lastname: Taniguchi
authors.forename: H
authors.initials: H
authors.lastname: Suginami