Cesarean scar dehiscence and irregular uterine bleeding.

Authors

A Van Horenbeeck, Ghent University Hospital
Marleen Temmerman, Aga Khan UniversityFollow
M Dhont, Ghent University Hospital

Document Type

Article

Department

Obstetrics and Gynaecology (East Africa)

Abstract

Background

Abnormal uterine bleeding is a frequent symptom in gynecology, caused by functional as well as by anatomic genital tract abnormalities.

Case

An endocervical diverticulum was diagnosed in a patient with secondary infertility, intermenstrual bleeding, and a prior cesarean delivery. Dehiscence of the cesarean scar was visualized by ultrasound, hysterosalpingogram, and hysteroscopy. The defect was repaired and the bleeding stopped. A spontaneous pregnancy occurred but ended in premature delivery at 17 weeks’ gestation. Recurrence of chronic bleeding led to a hysterectomy 6 months later.

Conclusion

Uterine scar defects may be associated with intermenstrual bleeding in women with a previous cesarean delivery.

Comments

This work was published before the author joined Aga Khan University.

Publication (Name of Journal)

Obstetrics & Gynecology

Recommended Citation

Horenbeeck, A. V., Temmerman, M., Dhont, M. (2003). Cesarean scar dehiscence and irregular uterine bleeding.. Obstetrics & Gynecology, 102(5), 1137-1139.
Available at: https://ecommons.aku.edu/eastafrica_fhs_mc_obstet_gynaecol/426