Cesarean scar dehiscence and irregular uterine bleeding

A. Van Horenbeeck, M. Temmerman, M. Dhont

Research output: Contribution to journalArticlepeer-review

41 Citations (Scopus)


BACKGROUND: Abnormal uterine bleeding is a frequent symptom in gynecology, caused by functional as well as by anatomic genital tract abnormalities. CASE: An endocervical diverticulum was diagnosed in a patient with secondary infertility, intermenstrual bleeding, and a prior cesarean delivery. Dehiscence of the cesarean scar was visualized by ultrasound, hysterosalpingogram, and hysteroscopy. The defect was repaired and the bleeding stopped. A spontaneous pregnancy occurred but ended in premature delivery at 17 weeks' gestation. Recurrence of chronic bleeding led to a hysterectomy 6 months later. CONCLUSION: Uterine scar defects may be associated with intermenstrual bleeding in women with a previous cesarean delivery.

Original languageEnglish
Pages (from-to)1137-1139
Number of pages3
JournalObstetrics and Gynecology
Issue number5 SUPPL.
Publication statusPublished - Nov 2003
Externally publishedYes


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