Cesarean scar niche

Changed by Joshua Yap, 28 Jul 2022
Disclosures - updated 15 Jul 2022: Nothing to disclose

Updates to Article Attributes

Body was changed:

The term Cesareancaesarean scar niche (defect) refers to the presence of a hypoechoic area within the myometrium in the isthmus (lower uterine segment) with discontinuation of myometrium at the site of a previous Cesareancaesarean section scar. A niche has been described as the indentation of myometrium of around 1-2 mm 1,4and due due to tethering of the endometrium. 

They are encountered in various shapes such as:

  • semicircular: considered commonest 4
  • triangular: next commonest 4
  • droplet‐shaped
  • inclusion cysts

Due to tethering of the endometrium, blood accumulates in a niche and may serve as a source of dysfunctional uterine bleeding, accounting for spotting 2-12 days after the routine menstrual cycle 5.

See also

  • -<p>The term <strong>Cesarean scar niche</strong> (defect) refers to the presence of a hypoechoic area within the myometrium in the isthmus (lower uterine segment) with discontinuation of myometrium at the site of previous Cesarean section scar. A niche has been described as the indentation of myometrium of around 1-2 mm <sup>1,4 </sup>and due to tethering of the endometrium. </p><p>They are encountered in various shapes such as:</p><ul>
  • +<p>The term <strong>caesarean scar niche</strong> (defect) refers to the presence of a hypoechoic area within the myometrium in the isthmus (lower uterine segment) with discontinuation of myometrium at the site of a previous caesarean section scar. A niche has been described as the indentation of myometrium of around 1-2 mm <sup>1,4</sup> due to tethering of the endometrium. </p><p>They are encountered in various shapes such as:</p><ul>
  • -</ul><p>Due to tethering of the endometrium, blood accumulates in a niche and may serve as a source of dysfunctional uterine bleeding, accounting for spotting 2-12 days after the routine menstrual cycle <sup>5</sup>.</p><h4>See also</h4><ul><li><a href="/articles/cesarean-section-scar-diverticulum-1">Cesarean section scar diverticulum</a></li></ul>
  • +</ul><p>Due to tethering of the endometrium, blood accumulates in a niche and may serve as a source of dysfunctional uterine bleeding, accounting for spotting 2-12 days after the routine menstrual cycle <sup>5</sup>.</p><h4>See also</h4><ul><li><a href="/articles/cesarean-section-scar-diverticulum-1">caesarean section scar diverticulum</a></li></ul>

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