An Unusual Finding of Two Cesarean Scar Defects in a Patient with History of Multiple Cesarean Sections

A healthy27-year-old female with a history of four previous cesarean sections (CS) was referred for evaluation of pelvic pain accompanied by intermenstrual and post-coital bleeding. Initial transvaginal ultrasound suggested presence of a uterine polyp. This was further investigated by saline-infused sonogram, which demonstrated a retroflexed uterus and two discrete fluid-filled cesarean scar defects (CSDs) (Figure 1). The first CSD was noted in the lower uterine segment measuring 8mm in length and 6mm in height, with an overlying myometrial thickness of 4mm.

Source: The Journal of Minimally Invasive Gynecology - March 20, 2021 Category: OBGYN Authors: Margot A Rosenthal, M Bradley Sullivan, John A Thiel Tags: IMAGES IN Gynecological Surgery Source Type: research