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Cesarean section scar diverticulum

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Case of menometrorrhagia. Previous two LSCS.

Patient Data

Age: 45 years
Gender: Female
ultrasound

There is a triangular fluid-filled defect (12 x 10 x 7 mm) from the anterior uterine wall at the site of a previous cesarean section scar. Its base communicates with the endometrial cavity. There is no focal myometrial lesion. The combined endometrial thickness is 3 mm. There is no endometrial mass lesion/ collection.

Both ovaries show a normal follicular pattern. There is no adnexal mass lesion. There is no free fluid in the pelvis.

Case Discussion

The ultrasound findings favor the cesarean section scar diverticulum.

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