Cesarean section scar diverticulum: appearance on hysterosalpingography.
OBJECTIVE
The purpose of this study was to characterize the frequency and appearance of hysterotomy defects on hysterosalpingography in patients with a history of cesarean section.


METHODS
We reviewed the hysterosalpingograms of 150 women with a history of cesarean section. The incidence, location, and appearance of defects at the expected location of a hysterotomy scar were evaluated.


RESULTS
Of the 148 patients with history of cesarean section and technically adequate hysterosalpingograms, 89 (60%) had defects that were in the expected location of a hysterotomy incision. Fifty-eight (65%) of the diverticula were focal outpouchings, and 31 (35%) were thin linear defects. Forty-eight (54%) of the diverticula were located at the lower uterine cavity, 32 (36%) at the uterine isthmus, and nine (10%) at the upper endocervical canal.


CONCLUSIONS
A diverticulum at the lower uterine cavity, uterine isthmus, or upper endocervical canal is a common finding on hysterosalpingography in patients with a history of cesarean section.
Surapaneni
Krishna
K
Department of Radiology, Long Island College Hospital, Brooklyn, NY, USA.
Silberzweig
James E
JE
D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix / Q000000981:diagnostic imaging* / Q000473:pathology; D004240:Diverticulum / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D008875:Middle Aged; D011247:Pregnancy; D011795:Surveys and Questionnaires