子宮内異物を有する続発性不妊症の一症例

抄録

  A 37-year-old woman with a history of Caesarian section visited our hospital for infertility treatment. She had been treated with 2 years of timing intercourse and 6 attempts of intrauterine insemination with ovarian stimulation by clomiphene citrate following an infertility evaluation at another private clinic. Several bright dots were observed in the myometrium of the uterine cervix by transvaginal ultrasound examination, and the cavity of uterine body could not be visualized due to acoustic shadow. Hysteroscopic examination diagnosed residual silk from the Caesarian section as a foreign body of the uterine cavity. After the removal of the foreign body by hysteroscopic surgery and laparoscopic adhesiolysis around the uterus, the patient became pregnant by timing intercourse. Foreign bodies of uterine cavity are a rare cause of infertility, but in cases of secondary infertility with a history of Caesarian section, hysteroscopy may be a useful examination and the removal of foreign bodies can restore fertility.