Fibroid Causing Heavy Menstrual Bleeding

Dr Jenny Cook  |  Gynaecologist & Advanced Laparoscopic Surgeon

Fibroid After D&C For Miscarriage

Symptoms

A 34 year old woman presented with heavy menstrual bleeding. She had previously had a D&C for miscarriage.

Diagnosis

A Pelvic Ultrasound revealed a 3cm submucosal fibroid. At hysteroscopy she was noted to have a thick band in the uterine cavity (partial Ashermann’s Syndrome). This presumably occurred following the D&C.

Procedure

The fibroid was resected and the thick band divided.

Outcome

Her fertility was restored to normal.

Hysteroscopic view of the uterine cavity showing submucosal fibroid (on the floor) and thick band (above this)
The laparoscopic view of the pelvis. Areas of scarring are seen in the Pouch of Douglas.
The band is divided
The band is divided
Hysteroscopic view of the normal uterine cavity at the end of the operation. The fibroid has been resected and the band has been divided
Hysteroscopic view of the normal uterine cavity at the end of the operation. The fibroid has been resected and the band has been divided
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