Abstract

Cesarean section and the resultant Cesarean scar are known to be associated with obstetric complications in subsequent pregnancies. Cesarean scar is also associated with gynecological conditions that can adversely affect the patient’s quality of life. We describe a very rare case of Cesarean scar abscess that developed 8 years after a Cesarean delivery, which was managed by emergency hysterectomy.

Highlights

  • The increasing rates of Cesarean section and its complications are global issues in developed countries

  • We describe a very rare case of Cesarean scar abscess that developed 8 years after a Cesarean delivery, which was managed by emergency hysterectomy

  • The following mechanisms have been reported to lead to the formation of Cesarean scar abscesses: The formation of scar dehiscence, a myometrial discontinuity at the site of a previous Cesarean scar, is caused by unknown mechanisms

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Summary

INTRODUCTION

The increasing rates of Cesarean section and its complications are global issues in developed countries. Cesarean section and the resultant Cesarean scar in the lower uterine segment are known to be associated with obstetric complications in subsequent pregnancies, such as uterine rupture; Cesarean scar pregnancy (CSP); placenta previa; and placenta accreta, increta, or percreta. Cesarean scars are associated with gynecological conditions that can adversely affect the patient’s quality of life, e.g., abnormal uterine bleeding, chronic pain, or secondary infertility [1]. We describe a very rare case of Cesarean scar abscess that developed 8 years after a Cesarean delivery, which was managed by emergency hysterectomy

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