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Cesarean section scar diverticulum: appearance on hysterosalpingography.
Krishna Surapaneni1, James E Silberzweig
1Department of Radiology, Long Island College Hospital, Brooklyn, NY, USA.
AJR. American Journal of Roentgenology
|March 22, 2008
Summary
Hysterotomy defects are common on hysterosalpingography in women with prior cesarean sections. These uterine diverticula often appear as focal outpouchings or linear defects in the lower uterine cavity or isthmus.
Area of Science:
- Radiology
- Gynecology
- Obstetrics
Background:
- Cesarean section is a common surgical procedure.
- Hysterotomy scars can potentially affect uterine anatomy and function.
- Hysterosalpingography (HSG) is a standard imaging technique for evaluating the uterine cavity.
Purpose of the Study:
- To determine the frequency and characteristics of hysterotomy defects.
- To analyze the appearance and location of these defects on HSG.
- To correlate HSG findings with a history of cesarean section.
Main Methods:
- Retrospective review of hysterosalpingograms.
- Analysis of 150 women with a history of cesarean section.
- Evaluation of defect incidence, location, and morphology.
Main Results:
- 60% of patients with adequate HSG demonstrated hysterotomy defects.
- Defects appeared as focal outpouchings (65%) or linear (35%) abnormalities.
- Common locations included the lower uterine cavity (54%), isthmus (36%), and upper endocervical canal (10%).
Conclusions:
- Uterine diverticula are frequently observed on HSG in women with prior cesarean sections.
- These findings represent common hysterotomy scar manifestations.
- Understanding these imaging findings is crucial for accurate interpretation.
