THE VALUE OF MRI IN THE ASSESSMENT OF TRAUMATIC INTRAUTERINE ADHESIONS (ASHERMANS-SYNDROME)

Since the publication titled Amenorrhea Traumatica (atretica) by Asherman in 1948, this syndrome has been considered a well defined clinical entity. It is typically manifested by the formation of fibrous adhesions involving the uterine cavity, sometimes involving the internal cervical os. The major causes are surgical intervention of the post-partum uterus and elective termination of early pregnancy. The diagnosis is usually suggested by hysterography and confirmed by hysteroscopy. The MRI appearances are reported in four cases of Asherman's Syndrome in which the diagnosis was confirmed by hysteroscopy. The full range of MRI appearances in Asherman's Syndrome has not been established and to our knowledge there has been only one case reported in the literature.