Cesarean section scar diverticulum

Changed by Henry Knipe, 4 Jun 2015

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A Cesarean section scar diverticulumdiverticulums refers toare a defect in the lower uterine cavity at the site of the cesarean section scar. 

Clinical featurespresentation

  • mostly asymptomatic
  • postmenstrual spotting
  • in a study was found to be the only finding in patients with bleeding disturbances

Radiographic features

Can be imaged on hysterosalpingogramhysterosalpingography and ultrasonogramultrasonography.

There is an anatomic defectmay be a defect or a focal outpouching may be seen at the site of prior cesarean section. Location could Location can be in the lower uterine segment or upper endocervical canal.

Differential diagnosis

  • prominent cervical glands 
  • postmyomectomypost myomectomy diverticula 
  • Gartner's duct cyst (long: long, tubular structure parallel to uterine cavity)
  • adenomyosis (location: location of defect anywhere along uterine cavity)
  • -<p><strong>A Cesarean section scar diverticulum</strong> refers to a defect in the lower uterine cavity at the site of the cesarean section scar. </p><h4>Clinical features</h4><ul>
  • +<p><strong>Cesarean section scar diverticulums</strong> are a defect in the lower <a title="Uterus" href="/articles/uterus">uterine cavity</a> at the site of the cesarean section scar. </p><h4>Clinical presentation</h4><ul>
  • -</ul><h4>Radiographic features</h4><p>Can be imaged on hysterosalpingogram and ultrasonogram.</p><p>There is an anatomic defect or a focal outpouching may be seen at the site of prior cesarean section. Location could be lower uterine segment or upper endocervical canal.</p><h4>Differential diagnosis</h4><ul>
  • +</ul><h4>Radiographic features</h4><p>Can be imaged on <a title="Hysterosalpingography" href="/articles/hysterosalpingogram">hysterosalpingography</a> and ultrasonography.</p><p>There may be a defect or a focal outpouching at the site of prior cesarean section. Location can be in the lower uterine segment or upper endocervical canal.</p><h4>Differential diagnosis</h4><ul>
  • -<li>postmyomectomy diverticula </li>
  • +<li>post myomectomy diverticula </li>
  • -<a href="/articles/gartner-duct-cyst">Gartner's duct cyst</a> (long, tubular structure parallel to uterine cavity)</li>
  • +<a href="/articles/gartner-duct-cyst">Gartner's duct cyst</a>: long, tubular structure parallel to uterine cavity</li>
  • -<a href="/articles/adenomyosis-of-the-uterus">adenomyosis</a> (location of defect anywhere along uterine cavity)</li>
  • +<a href="/articles/adenomyosis-of-the-uterus">adenomyosis</a>: location of defect anywhere along uterine cavity</li>

Tags changed:

  • cases

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