Title

Cesarean scar dehiscence and irregular uterine bleeding.

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

Obstetrics & Gynecology

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