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.

DESIGN

Case report.

SETTING

Departments of gynecology and obstetrics in two hospitals in France.

PATIENT(S): A 29-year-old woman, para 1, presenting severe postpartum hemorrhage.

INTERVENTION(S): Bilateral uterine, round ligament, utero-ovarian, and ovarian arteries ligation.

MAIN OUTCOME MEASURE(S): Clinical and hormonal status, computed tomography scan, hysterosalpingography, laparoscopy, hysteroscopy, and histological examination.

RESULT(S): Twelve months after uterine devascularization, the patient presented major intrauterine synechiae, absence of endometrium, and ovarian function failure.

CONCLUSION(S): Uterine devascularization may be responsible for infertility as a result of intrauterine synechiae and ovarian function failure.