J Korean Radiol Soc.  1999 Mar;40(3):527-534. 10.3348/jkrs.1999.40.3.527.

MR Imaging of Asherman's Syndrome in Patients With and Without Uterine Anomalies: Comparison withHysterosalpingography

• Kim JS
• Kim H
• Kim TH

• KMID: 2201042
• DOI: http://doi.org/10.3348/jkrs.1999.40.3.527

Abstract

PURPOSE: To assess the role of MR imaging in the detection of Asherman's syndrome, especially whenthis is associated with a congenital uterine anomaly.
MATERIALS AND METHODS
MR images were obtained in thesemicoronal plane parallel to the long axis of the uterus in 11 patients. Dilatation and curettage involving thein-sertion of an intrauterine device was performed in all patients, and transabdominal metroplasty was performedin four with uterine anomaly. MR imaging findings we r e compared with those of hyste rosalpingograhy in all patients and compared with sur-gical findings in four.
RESULTS
The MR findings of uterine synechiademonstrated in nine of 11 patients were focal thickening of the uterine junctional zone (n=2), hypointense fociin the en-dometrium (n=1), or both these findings (n=6). Seven of the 11 patients had associat-ed uterineanomalies, which were demonstrated in all seven by MR imaging. In four of the seven, HSG failed to demonstratethese anomalies.
CONCLUSION
MR imaging satisfactorily demonstrated intrauterine lesions in nine of 11 patientswith Asherman's syndrome, and was especially helpful in demonstrating associated uterine anomalies.

Keyword

Uterus, abnormalities; Uterus, MR; Uterus, radiography

MeSH Terms

Axis, Cervical Vertebra
Dilatation and Curettage
Female
Gynatresia*
Humans
Intrauterine Devices
Magnetic Resonance Imaging*
Uterus