Intrauterine Adhesion-Induced Septated Amniotic Cavity: Ultrasonographic Findings in Second and Third Trimesters
A 40-year-old woman who had obstetric history of one vaginal delivery and two surgical abortions to terminate early pregnancy received regular prenatal care without any systemic maternal diseases. During the detailed second trimester ultrasound, a homogenous adhesion-induced pseudocystic lesion of 8...
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MDPI AG
2024-12-01
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| author | Jo-Ting Huang Yu-Ming Chen Ching-Chang Tsai Hsin-Hsin Cheng Yun-Ju Lai Pei-Fang Lee Te-Yao Hsu Kun-Long Huang |
| author_facet | Jo-Ting Huang Yu-Ming Chen Ching-Chang Tsai Hsin-Hsin Cheng Yun-Ju Lai Pei-Fang Lee Te-Yao Hsu Kun-Long Huang |
| author_sort | Jo-Ting Huang |
| collection | DOAJ |
| description | A 40-year-old woman who had obstetric history of one vaginal delivery and two surgical abortions to terminate early pregnancy received regular prenatal care without any systemic maternal diseases. During the detailed second trimester ultrasound, a homogenous adhesion-induced pseudocystic lesion of 8.6 × 7.4 cm was found between the inlet of the endocervix and the uterine cavity in the lower segment of the uterus. There was a clear septum with an inlet of about 2.6 cm near the right lower segment of the uterus. Transvaginal sonography showed a cervical length of 3.29 cm without dilatation. No gross fetal anomalies were found. Sometimes, the fetal head or limbs moved into this cystic space. At 36 3/7 weeks of gestation, a cesarean section was arranged for fetal breech presentation and pre-labor rupture of the membrane. After the delivery of the baby and its placenta, there was no obvious septum in the uterine cavity but only a very short fibrous tissue from the posterior wall of uterus, which could be destroyed when the baby was delivered. No adverse outcomes for the mother or the neonate were observed. |
| format | Article |
| id | doaj-art-a09ae58df58c47ee83eb0ef029156120 |
| institution | DOAJ |
| issn | 2075-4418 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-a09ae58df58c47ee83eb0ef0291561202025-08-20T02:53:43ZengMDPI AGDiagnostics2075-44182024-12-011424282610.3390/diagnostics14242826Intrauterine Adhesion-Induced Septated Amniotic Cavity: Ultrasonographic Findings in Second and Third TrimestersJo-Ting Huang0Yu-Ming Chen1Ching-Chang Tsai2Hsin-Hsin Cheng3Yun-Ju Lai4Pei-Fang Lee5Te-Yao Hsu6Kun-Long Huang7Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University Collage of Medicine, Kaohsiung 833401, TaiwanDepartment of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University Collage of Medicine, Kaohsiung 833401, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University Collage of Medicine, Kaohsiung 833401, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University Collage of Medicine, Kaohsiung 833401, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University Collage of Medicine, Kaohsiung 833401, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University Collage of Medicine, Kaohsiung 833401, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University Collage of Medicine, Kaohsiung 833401, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University Collage of Medicine, Kaohsiung 833401, TaiwanA 40-year-old woman who had obstetric history of one vaginal delivery and two surgical abortions to terminate early pregnancy received regular prenatal care without any systemic maternal diseases. During the detailed second trimester ultrasound, a homogenous adhesion-induced pseudocystic lesion of 8.6 × 7.4 cm was found between the inlet of the endocervix and the uterine cavity in the lower segment of the uterus. There was a clear septum with an inlet of about 2.6 cm near the right lower segment of the uterus. Transvaginal sonography showed a cervical length of 3.29 cm without dilatation. No gross fetal anomalies were found. Sometimes, the fetal head or limbs moved into this cystic space. At 36 3/7 weeks of gestation, a cesarean section was arranged for fetal breech presentation and pre-labor rupture of the membrane. After the delivery of the baby and its placenta, there was no obvious septum in the uterine cavity but only a very short fibrous tissue from the posterior wall of uterus, which could be destroyed when the baby was delivered. No adverse outcomes for the mother or the neonate were observed.https://www.mdpi.com/2075-4418/14/24/2826surgical evacuationintrauterine adhesionadhesive septumcesarean sectionuterine pseudocystAsherman syndrome |
| spellingShingle | Jo-Ting Huang Yu-Ming Chen Ching-Chang Tsai Hsin-Hsin Cheng Yun-Ju Lai Pei-Fang Lee Te-Yao Hsu Kun-Long Huang Intrauterine Adhesion-Induced Septated Amniotic Cavity: Ultrasonographic Findings in Second and Third Trimesters Diagnostics surgical evacuation intrauterine adhesion adhesive septum cesarean section uterine pseudocyst Asherman syndrome |
| title | Intrauterine Adhesion-Induced Septated Amniotic Cavity: Ultrasonographic Findings in Second and Third Trimesters |
| title_full | Intrauterine Adhesion-Induced Septated Amniotic Cavity: Ultrasonographic Findings in Second and Third Trimesters |
| title_fullStr | Intrauterine Adhesion-Induced Septated Amniotic Cavity: Ultrasonographic Findings in Second and Third Trimesters |
| title_full_unstemmed | Intrauterine Adhesion-Induced Septated Amniotic Cavity: Ultrasonographic Findings in Second and Third Trimesters |
| title_short | Intrauterine Adhesion-Induced Septated Amniotic Cavity: Ultrasonographic Findings in Second and Third Trimesters |
| title_sort | intrauterine adhesion induced septated amniotic cavity ultrasonographic findings in second and third trimesters |
| topic | surgical evacuation intrauterine adhesion adhesive septum cesarean section uterine pseudocyst Asherman syndrome |
| url | https://www.mdpi.com/2075-4418/14/24/2826 |
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