BACKGROUND The aim of this paper is to present a clinical case of laparoscopic repair of a uterine scar defect, to assess the effectiveness of treatment reviewing the latest literature sources, and to provide recommendations of uterine scar defect management. MATERIALS AND METHODS We report the case of a 33-year-old woman with an insufficient uterine scar and one-year history of secondary inf...

Caesarean section (CS) scar defects are seen in up to 19% of women post lower segment caesarean section. Ultrasound and in particular transvaginal ultrasound, with or without saline, is the imaging modality of choice to delineate such defects. There are limited data available however which enable clinicians to quantify the risk of potential sequelae in women with a demonstrable CS scar defect.

Secondary postpartum haemorrhage due to partial or complete dehiscence of uterine wound after caesarean section is unusual. Authors present here a patient with secondary postpartum haemorrhage following uterine dehiscence after caesarean delivery. Conservative management failed to control the bleeding, and she eventually needed hysterectomy. All women who have significant PPH following caesarea...

OBJECTIVE To study the diagnostic accuracy of sonographic measurements of the lower uterine segment (LUS) thickness near term in predicting uterine scar defects in women with prior Caesarean section (CS). DATA SOURCES PubMed, Embase, and Cochrane Library (1965-2009). METHODS OF STUDY SELECTION Studies of populations of women with previous low transverse CS who underwent third-trimester eval...

An unusual case of an incidental sonographic finding of a large uterine rupture after caesarean section (CS) is presented. The patient had a history of silent uterine rupture diagnosed during her third CS four years ago. Four years after the CS the patient presented to her gynecologist with chronic lower abdominal pain. During ultrasound imaging large inhomogeneous tumor presented in the area o...

Background: Risk of scar defect is inversely correlated with lower uterine segment thickness. The study aims to assess the diagnostic accuracy of sonographic measurement of the lower uterine segment thickness near term in predicting uterine scar defect in women with prior Caesarean section and ascertain the best cut-off value for predicting uterine rupture in our country. Methods: This observat...

Cesarean Scar Defect (CSD) is the formation of a diverticulum at the site of the old caesarean incision [1]. With a rising cesarean sections being performed, the complications caused by CSDs has attracted more and more attentions. These include conditions such as scar pregnancy, placenta accreta, placenta previa, and uterine rupture in subsequent pregnancies [2,3]. The CSD is also associated wi...

Methods Caesarean scar pregnancy occurs due to implantation within a caesarean scar that is completely surrounded by myometrium and is therefore considered by many to be a late complication of caesarean section. The incidence of a caesarean scar pregnancy varies from 1 in 1800 to 1 in 2216 pregnancies and is rising due to an increase rates of the c section. Caesarean scar pregnancies are challe...

OBJECTIVE To report the clinical characteristics, pathologic findings and treatments of a patient with a Caesarean scar choriocarcinoma. PATIENT HISTORY A 22-year-old woman had a diagnosis of primary gestational choriocarcinoma in a uterine Caesarean scar misdiagnosed as a normal Caesarean scar pregnancy. The patient underwent selective uterine artery embolization coupled with methotrexate ar...

Abdominal wall endometriosis (AWE) is a rare condition that usually develops in a surgical scar resulting from a Caesarean section. While commonly seen in the cutaneous and subcutaneous fat tissue at the Caesarean scar level, its intramuscular localization is quite rare. Its treatment options consist of the excision of the lesion and/or hormonal therapies, although wide surgical excision is the...