Tchente Nguefack C, Brichant G, Nisolle M
Faculté de Médecine et des Sciences pharmaceutiques, Université de Douala, Cameroun.
, Service de Gynécologie-Obstétrique, CHR Citadelle, Liège, Belgique.
Rev Med Liege. 2018 Oct;73(10):508-512.
Asherman's syndrome (AS) is a partial or complete obliteration of the uterine cavity after intrauterine trauma. Approximately 90 % of severe AS cases occur after abortion curettage or postpartum curettage. Clinical signs and symptoms are abnormalities of the cycle (hypomenorrhoea or amenorrhoea) and fertility disorders. We have reviewed the recent literature on AS following the description of a typical clinical case. The management of AS is not easy. It must be done by experienced surgeons. Realization of several surgeries is sometimes mandatory, with the use of anti-adhesive devices between interventions. Its complex management encourages insistence on the avoidance of its risk factors.