S S Erickson1, B J Van Voorhis. 1. Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, USA. sonya-erickson@uiowa.edu
Abstract
BACKGROUND: The differential diagnosis of intermenstrual bleeding includes structural lesions of the endometrium and cervix. CASES: Discrete diverticuli were noted in the endocervical canals of three women presenting with histories of multiple cesareans and chief complaints of intermenstrual bleeding. On ultrasound, diverticuli were diagnosed as cavities filled with heterogeneous material consistent with blood. In one case, the diverticulum was also visualized on hysterosalpingogram. Hysterectomy specimens in two cases showed diverticuli lined with fibrous tissue in previous uterine scars; in one case, this also contained endometrium. CONCLUSION: Uterine scar diverticuli may cause intermenstrual bleeding in women with previous cesareans. When performing ultrasound in this clinical setting, physicians should look for these defects.
BACKGROUND: The differential diagnosis of intermenstrual bleeding includes structural lesions of the endometrium and cervix. CASES: Discrete diverticuli were noted in the endocervical canals of three women presenting with histories of multiple cesareans and chief complaints of intermenstrual bleeding. On ultrasound, diverticuli were diagnosed as cavities filled with heterogeneous material consistent with blood. In one case, the diverticulum was also visualized on hysterosalpingogram. Hysterectomy specimens in two cases showed diverticuli lined with fibrous tissue in previous uterine scars; in one case, this also contained endometrium. CONCLUSION: Uterine scar diverticuli may cause intermenstrual bleeding in women with previous cesareans. When performing ultrasound in this clinical setting, physicians should look for these defects.
Authors: Ahmet Ozgur Yeniel; Ahmet Mete Ergenoglu; Ali Akdemir; Elmin Eminov; Fuat Akercan; Nedim Karadadaş Journal: Case Rep Obstet Gynecol Date: 2013-04-04
Authors: Ajmw Vervoort; L F van der Voet; Wjk Hehenkamp; A L Thurkow; Pjm van Kesteren; H Quartero; W Kuchenbecker; M Bongers; P Geomini; Lhm de Vleeschouwer; Mha van Hooff; H van Vliet; S Veersema; W B Renes; K Oude Rengerink; S E Zwolsman; Ham Brölmann; Bwj Mol; Jaf Huirne Journal: BJOG Date: 2017-07-05 Impact factor: 6.531
Authors: A J M W Vervoort; L F Van der Voet; M Witmer; A L Thurkow; C M Radder; P J M van Kesteren; H W P Quartero; W K H Kuchenbecker; M Y Bongers; P M A J Geomini; L H M de Vleeschouwer; M H A van Hooff; H A A M van Vliet; S Veersema; W B Renes; H S van Meurs; J Bosmans; K Oude Rengerink; H A M Brölmann; B W J Mol; J A F Huirne Journal: BMC Womens Health Date: 2015-11-12 Impact factor: 2.809