Abstract

A healthy, 27-year-old woman with a history of 4 previous cesarean sections (CS) was referred for evaluation of pelvic pain accompanied by intermenstrual and postcoital bleeding. Initial transvaginal ultrasound suggested the presence of a uterine polyp. This was further investigated by a saline-infused sonogram, which demonstrated a retroflexed uterus and 2 discrete fluid-filled cesarean scar defects (CSDs) (Fig. 1). The first CSD was noted in the lower uterine segment measuring 8 mm in length and 6 mm in height, with an overlying myometrial thickness of 4 mm.

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