ASHERMANS-SYNDROME AS A FREQUENT WRONG DI AGNOSIS OF A VIA FALSA IN HYSTEROSCOPIC DIAGNOSIS OF STERILE PATIENTS

Three cases of a via falsa in patients suffering from primary sterilit y are reported. In other hospitals a diagnosis Asherman's syndrome was made and the patients were admitted to our endoscopic centre for hyst eroscopic treatment. Since the patients had not undergone previous int rauterine interventions the hysteroscopic diagnosis procedures were re peated. In all 3 cases we found a via falsa to the isthmocervical port ion. The via falsa to the myometrium was regarded as an obliterated ca vity and was thus wrongly diagnosed as ''Asherman's syndrome''. In two cases we found a regular uterine cavity. In the third case we detecte d a uterine septum in the cavum, which was dissected by hysteroscopy i n the same session. The three cases show that with patients suffering from primary sterility a via falsa should also be considered if Asherm an's syndrome is suspected before arriving at this prognostically unfa vourable diagnosis in respect of further fertility.