rome in Patients With and Without Uterine Anomalies : Comparison with Hysterosalpingography

s h e r m a n’s syndrome is caused by intrauterine adhesions which result from scarring in the uterine cavity. Endometrial trauma or infection caused by postpartum or postabortion curettage are main causes of this syndrome (1), which is strongly suspected in women with postcurettage hypoor amenorrhea, infertility, repeated pregnancy losses, and/or severe obstetrical complications, including postpartum hemorrhage and placental retention (2-4). Radiographically, diagnosis has been most commonly supported by the findings of hysterosalpingography (HSG). When Asherman’s syndrome develops in a uterus with congenital anomaly, correct diagnosis is very important. In such patients, the treatment for this syndrome may be different from the treatment appropriate for those without uterine anomalies. The treatment of such anomalies requires various surgical procedures, depending on individual subtype, but A s h e r m a n’s syndrome can be treated by curettage and the insertion of an intrauterine device (IUD), or by a hysteroscopic procedure (5, 6) For the characterization of individual uterine anomalies, HSG suffers from limitations, though MR imaging is excellent in this regard (7-9). Although MR imaging J Korean Radiol Soc 1999;40:5 27-5 3 3