Cesarean scar dehiscence and irregular uterine bleeding.
BACKGROUND
Abnormal uterine bleeding is a frequent symptom in gynecology, caused by functional as well as by anatomic genital tract abnormalities.


METHODS
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.


CONCLUSIONS
Uterine scar defects may be associated with intermenstrual bleeding in women with a previous cesarean delivery.
Van Horenbeeck
A
A
Department of Obstetrics and Gynecology, Ghent University Hospital, Ghent, Belgium.
Temmerman
M
M
Dhont
M
M
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D011247:Pregnancy; D012008:Recurrence; D013529:Surgical Wound Dehiscence / Q000150:complications* / Q000601:surgery; D014592:Uterine Hemorrhage / Q000209:etiology*; D014599:Uterus / Q000601:surgery