Misdiagnosed uterine adhesions

  The hospital, where Xiao Fang came in tears, broke into tears after the hysteroscopy, because she was taken off the cap of “uterine adhesions”.  She had an abortion 2 years ago and had reduced menstruation after the operation. She recently went to the local hospital for a hysteroscopy. She was told that she had “severe uterine adhesions. She was told to go to Beijing Fuxing Hospital to see the doctor.  After the hysteroscopy, the doctor took the graphic report to Fang and explained: your uterine cavity is 8cm deep, the fundus is normal, the uterine horns are present on both sides, the opening of the fallopian tubes is visible, and the Meridian fluid flows smoothly from the umbilical ends of both tubes at the same time during the lavage. The opening of the fallopian tubes was visible. The only problem was that there were a few fibrous-like adhesions in the upper part of the uterine cavity on both sides of the wall, which had been separated with a needle-like monopole to restore the normal morphology of the uterine cavity. “”So what happened to my original severe degree of uterine adhesions?”” Xiao Fang asked.  ”We found a false tract on the posterior wall of your uterine isthmus, about 3 cm deep, which was mistakenly entered by hysteroscopy and certainly felt narrow and crowded and thought to be due to severe uterine adhesions.” See the attached picture, the oval outline at the top of the picture is the uterine cavity and the fissure at its lower right is the false tract.  Fang was overjoyed to learn this result!  In our clinical work, we occasionally see cases where the uterus is mistaken for cavity adhesions because of insufficient dilatation at the time of surgery, or unicornuate, stump-angle, or obliquely septated uterus. Therefore, we should be very cautious about the maximum number of cavity adhesions!