{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:31:41Z","timestamp":1755221501523,"version":"3.43.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Asherman syndrome (AS), characterized by intrauterine adhesions, can lead to\n                    various pregnancy complications. We report a case of a 31-year-old woman who was\n                    admitted at 29+2 weeks due to preterm premature rupture of membranes at our\n                    university hospital. The woman had a history of AS following emergency\n                    curettage. Ultrasonography revealed an adhesion band in the lower uterine\n                    segment, closely positioned to the fetus's leg. Antibiotic therapy and\n                    antenatal corticosteroids were administered to prevent infection and neonatal\n                    respiratory distress syndrome. Two weeks later, the woman developed labor\n                    contractions and pathological cardiotocography, leading to a secondary cesarean\n                    section. During surgery, the fetus was found to be in an incomplete breech\n                    position, with one leg trapped beneath the adhesion band. Delivery was achieved\n                    by releasing the other leg and cutting the adhesion band. The neonate was born\n                    with significant right leg edema, likely due to chronic intrauterine\n                    compressionby the adhesion band. Postoperatively, the neonate required intensive\n                    care. Regular orthopedic visits confirmed intact circulation, sensory, and motor\n                    function of the leg and the edema gradually resolved. This case highlights a\n                    rare pregnancy complication due to an intrauterine adhesion band and emphasizes\n                    the importance of accurate and early adhesion band detection such as the\n                    differential diagnostic exclusion of the more common amniotic band via\n                    ultrasound. It is a good example of multidisciplinary care provided by\n                    obstetricians, neonatologists and orthopedic surgeons in a perinatal care\n                    center.<\/jats:p>","DOI":"10.1055\/a-2580-1098","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T19:59:26Z","timestamp":1746043166000},"page":"294-298","source":"Crossref","is-referenced-by-count":0,"title":["Intrauterine Adhesion Band Causing Fetal Leg Compression: A Case\n                    Report of a Rare Asherman Syndrome Complication in Pregnancy"],"prefix":"10.1055","volume":"229","author":[{"given":"Sara Gabriela","family":"Hangen Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstretics, Center for\n                    Integrated Oncology (CIO Aachen, Bonn, Cologne, D\u00fcsseldorf), University Hospital\n                    Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom\u00e1\u0161","family":"Kupec","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstretics, Center for\n                    Integrated Oncology (CIO Aachen, Bonn, Cologne, D\u00fcsseldorf), University Hospital\n                    Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nele Kristin","family":"Freerksen-Kirschner","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstretics, Center for\n                    Integrated Oncology (CIO Aachen, Bonn, Cologne, D\u00fcsseldorf), University Hospital\n                    Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Wittenborn","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstretics, Center for\n                    Integrated Oncology (CIO Aachen, Bonn, Cologne, D\u00fcsseldorf), University Hospital\n                    Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laila","family":"Najjari","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstretics, Center for\n                    Integrated Oncology (CIO Aachen, Bonn, Cologne, D\u00fcsseldorf), University Hospital\n                    Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elmar","family":"Stickeler","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstretics, Center for\n                    Integrated Oncology (CIO Aachen, Bonn, Cologne, D\u00fcsseldorf), University Hospital\n                    Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Meyer-Wilmes","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstretics, Center for\n                    Integrated Oncology (CIO Aachen, Bonn, Cologne, D\u00fcsseldorf), University Hospital\n                    Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"892","DOI":"10.1111\/j.1471-0528.1950.tb06053.x","article-title":"Traumatic intra-uterine adhesions","volume":"57","author":"J G Asherman","year":"1950","journal-title":"J Obstet Gynaecol Br Emp"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/j.fertnstert.2008.02.096","article-title":"Asherman syndrome \u2013 one century later","volume":"89","author":"D Yu","year":"2008","journal-title":"Fertility and sterility"},{"key":"ref3","first-page":"83","volume-title":"Asherman's syndrome. In: Seminars in Reproductive Medicine","author":"C M March","year":"2011"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1016\/s0015-0282(16)46268-0","article-title":"Intrauterine adhesions: an updated appraisal","volume":"37","author":"J G Schenker","year":"1982","journal-title":"Fertil Steril"},{"key":"ref5","first-page":"349","volume-title":"Intrauterine adhesions. In: Seminars in Reproductive Medicine","author":"J M Berman","year":"2008"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1093\/humupd\/dmt045","article-title":"Systematic review and meta-analysis of intrauterine adhesions after miscarriage:\n                    prevalence, risk factors and long-term reproductive outcome","volume":"20","author":"A B Hooker","year":"2014","journal-title":"Human Reproduction Update"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1477-7827-11-118","article-title":"The management of Asherman syndrome: a review of literature","volume":"11","author":"A Conforti","year":"2013","journal-title":"Reprod Biol Endocrinol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s10397-017-1007-3","article-title":"practice guidelines on intrauterine adhesions developed in collaboration with\n                    the European Society of Gynaecological Endoscopy (ESGE)","volume":"14","author":"AAGL practice report","year":"2017","journal-title":"Gynecol Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1093\/humrep\/deaa289","article-title":"Reproductive performance of women with and without intrauterine adhesions\n                    following recurrent dilatation and curettage for miscarriage: long-term\n                    follow-up of a randomized controlled trial","volume":"36","author":"A B Hooker","year":"2020","journal-title":"Hum Reprod"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1097\/00003081-198612000-00016","article-title":"Role of uterine adhesions in the cause of multiple pregnancy losses","volume":"29","author":"W Shaffer","year":"1986","journal-title":"Clin Obst Gynecol"},{"key":"ref11","first-page":"986","article-title":"Intrauterine adhesions: an update","volume":"80","author":"H Al-Inany","year":"2001","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"195","DOI":"10.4274\/tjod.galenos.2022.69705","article-title":"Comparison of the localization of intrauterine adhesions in pregnant and\n                    infertile women","volume":"19","author":"R A Bender","year":"2022","journal-title":"Turk J Obstet Gynecol"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1847","DOI":"10.1093\/humrep\/dey237","article-title":"Live birth rate and obstetric complications following the hysteroscopic\n                    management of intrauterine adhesions including Asherman syndrome","volume":"33","author":"R Deans","year":"2018","journal-title":"Hum Reprod"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1016\/S0015-0282(97)00375-0","article-title":"Hysteroscopic treatment of intrauterine adhesions is safe and effective in the\n                    restoration of normal menstruation and fertility","volume":"68","author":"R Pabuccu","year":"1997","journal-title":"Fertil Steril"},{"key":"ref16","first-page":"101797","article-title":"Intrauterine adhesions: what is the pregnancy rate after hysteroscopic\n                    management? J Gynecol Obstet","volume":"49","author":"P Capmas","year":"2020","journal-title":"Hum Reprod"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1561","DOI":"10.1016\/j.fertnstert.2015.08.039","article-title":"Results of centralized Asherman surgery, 2003\u20132013","volume":"104","author":"MM F Hanstede","year":"2015","journal-title":"Fertil Steril"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1186\/s12905-024-02944-0","article-title":"Review of Asherman syndrome and its hysteroscopic treatment outcomes: experience\n                    in a low-resource setting","volume":"24","author":"M Siferih","year":"2024","journal-title":"BMC Women's Health"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1186\/s12884-022-05164-2","article-title":"The link between intrauterine adhesions and impaired reproductive performance: a\n                    systematic review of the literature","volume":"22","author":"A B Hooker","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4274\/tjod.22309","article-title":"Diagnostic sign of intra uterine extra amniotic adhesions with 4D\n                    ultrasonography: Sheet on string","volume":"15","author":"E \u00c7al\u0131\u015fkan","year":"2018","journal-title":"Turk J Obstet Gynecol"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2580-1098.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T22:41:01Z","timestamp":1754692861000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2580-1098"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,30]]},"references-count":19,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,8,8]]},"published-print":{"date-parts":[[2025,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2580-1098","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"type":"print","value":"0948-2393"},{"type":"electronic","value":"1439-1651"}],"subject":[],"published":{"date-parts":[[2025,4,30]]}}}