Cesarean section scar as a cause of abnormal vaginal bleeding: diagnosis by  sonohysterography

Thurmond AS; Harvey WJ; Smith SA

doi:10.7863/jum.1999.18.1.13

Uterine and Pelvic Conditions · Acquired Uterine Conditions

Cesarean section scar as a cause of abnormal vaginal bleeding: diagnosis by sonohysterography

Thurmond AS, Harvey WJ, Smith SA

Published January 1999 Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine, 18(1), 13-18

DOI 10.7863/jum.1999.18.1.13 PMID 9952074

Abstract

A previously undescribed cause of abnormal uterine bleeding is presented. Nine of 310 women evaluated by sonohysterography for abnormal bleeding demonstrated an 8 to 17 mm gap in the anterior lower uterine segment myometrium at the site of prior cesarean deliveries. All women were premenopausal and had a history of 2 to 12 days of postmenstrual spotting. Presumably a lack of coordinated muscular contractions occurs around the cesarean scar, allowing the defect to collect menstrual debris. Subsequently, the debris leaches out through the cervix for several days after the majority of menstrual flow has ceased.

Topics

Uterine and Pelvic Conditions › Acquired Uterine Conditions › Cesarean Scar Defect · Diagnostics › Ultrasound › Transvaginal Ultrasound · Menstrual Cycle › Cycle Disorders › Abnormal Uterine Bleeding

PMID 9952074 9952074 DOI 10.7863/jum.1999.18.1.13 10.7863/jum.1999.18.1.13 Thurmond et al. 1999, Thurmond 1999

Cesarean section scar as a cause of abnormal vaginal bleeding: diagnosis by sonohysterography

Abstract

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