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April 18, 2026Case Reports in Obstetrics and GynecologyOpen Access

A Challenging Case Report of Severe Asherman’s Syndrome: Managing Uterine Perforation During Surgery

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Authors

KHKhishotul HayatiASArtha Falentin Putri SusiloMRMulyanusa Amarullah Ritonga

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Overview

Case report illustrates uterine perforation during adhesiolysis in severe Asherman's syndrome, suggesting the need for prompt management.

Key Points

  • To highlight the complications associated with hysteroscopic adhesiolysis in severe Asherman's syndrome and the importance of prompt intervention.
  • Reported a case of a 31-year-old woman with severe AS undergoing hysteroscopic adhesiolysis.
  • Diagnosed uterine perforation through sudden loss of resistance during surgery.
  • Performed laparoscopic confirmation and repair of the fundal defect.
  • Used amnion graft for endometrial regeneration and managed intraoperative bleeding.
  • Conducted a repeat laparoscopy for definitive surgical repair when necessary.
  • Identified a small fundal perforation during the initial procedure.
  • Confirmed a larger fundal defect requiring laparoscopic hysterorrhaphy.
  • Patient recovered without complications and resumed menstruation one month post-surgery.

Cite This Study

Hayati et al. (2026) studied this question.

synapsesocial.com/papers/69e3216540886becb6540970https://doi.org/10.1155/crog/8897371
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