Cesarean scar dehiscence and irregular uterine bleeding.
Obstetrics and Gynaecology (East Africa)
Abnormal uterine bleeding is a frequent symptom in gynecology, caused by functional as well as by anatomic genital tract abnormalities.
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.
Uterine scar defects may be associated with intermenstrual bleeding in women with a previous cesarean delivery.
Obstetrics & Gynecology
Horenbeeck, A. V.,
(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