Postmenopausal bleeding in a woman with caesarean scar defect: A case report

Background: Caesarean scar defect (CSD) is a complication of caesarean section with implications for abnormal uterine bleeding. Most cases of CSD are discovered incidentally or with the development of menstrual changes. However, CSD may rarely have a longer latency period, resulting in postmenopausa...

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Main Authors: Hui Men Selina Chin, Zheng Yuan Ng, Liying Yang
Format: Article
Language:English
Published: Elsevier 2020-07-01
Series:Case Reports in Women's Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911220300655
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author Hui Men Selina Chin
Zheng Yuan Ng
Liying Yang
author_facet Hui Men Selina Chin
Zheng Yuan Ng
Liying Yang
author_sort Hui Men Selina Chin
collection DOAJ
description Background: Caesarean scar defect (CSD) is a complication of caesarean section with implications for abnormal uterine bleeding. Most cases of CSD are discovered incidentally or with the development of menstrual changes. However, CSD may rarely have a longer latency period, resulting in postmenopausal presentation of bleeding and abdominal pain. Case: A 52-year-old postmenopausal woman presented with acute suprapubic pain and postmenopausal bleeding. Pelvic ultrasonography and magnetic resonance imaging suggested bleeding from a CSD. Her symptoms resolved with expectant management. She subsequently underwent elective hysterectomy and bilateral salpingo-oophorectomy, which provided histological confirmation of a CSD. Conclusion: Caesarean scar defect should be considered in patients who present with acute abnormal uterine bleeding or pelvic pain with a history of caesarean section, even after menopause.
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spelling doaj.art-12f3759f6af641bc98d25ac553fae4152022-12-22T01:57:50ZengElsevierCase Reports in Women's Health2214-91122020-07-0127e00235Postmenopausal bleeding in a woman with caesarean scar defect: A case reportHui Men Selina Chin0Zheng Yuan Ng1Liying Yang2Corresponding author.; Department of Obstetrics and Gynaecology, Singapore General Hospital, Outram Road, 169608, SingaporeDepartment of Obstetrics and Gynaecology, Singapore General Hospital, Outram Road, 169608, SingaporeDepartment of Obstetrics and Gynaecology, Singapore General Hospital, Outram Road, 169608, SingaporeBackground: Caesarean scar defect (CSD) is a complication of caesarean section with implications for abnormal uterine bleeding. Most cases of CSD are discovered incidentally or with the development of menstrual changes. However, CSD may rarely have a longer latency period, resulting in postmenopausal presentation of bleeding and abdominal pain. Case: A 52-year-old postmenopausal woman presented with acute suprapubic pain and postmenopausal bleeding. Pelvic ultrasonography and magnetic resonance imaging suggested bleeding from a CSD. Her symptoms resolved with expectant management. She subsequently underwent elective hysterectomy and bilateral salpingo-oophorectomy, which provided histological confirmation of a CSD. Conclusion: Caesarean scar defect should be considered in patients who present with acute abnormal uterine bleeding or pelvic pain with a history of caesarean section, even after menopause.http://www.sciencedirect.com/science/article/pii/S2214911220300655Caesarean scar defectIsthmocoeleUterine nichePostmenopausal bleedingCase report
spellingShingle Hui Men Selina Chin
Zheng Yuan Ng
Liying Yang
Postmenopausal bleeding in a woman with caesarean scar defect: A case report
Case Reports in Women's Health
Caesarean scar defect
Isthmocoele
Uterine niche
Postmenopausal bleeding
Case report
title Postmenopausal bleeding in a woman with caesarean scar defect: A case report
title_full Postmenopausal bleeding in a woman with caesarean scar defect: A case report
title_fullStr Postmenopausal bleeding in a woman with caesarean scar defect: A case report
title_full_unstemmed Postmenopausal bleeding in a woman with caesarean scar defect: A case report
title_short Postmenopausal bleeding in a woman with caesarean scar defect: A case report
title_sort postmenopausal bleeding in a woman with caesarean scar defect a case report
topic Caesarean scar defect
Isthmocoele
Uterine niche
Postmenopausal bleeding
Case report
url http://www.sciencedirect.com/science/article/pii/S2214911220300655
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AT liyingyang postmenopausalbleedinginawomanwithcaesareanscardefectacasereport