Presentation
History of three previous Cesarian scars. Now presents with chronic cyclic pelvic pain associated with a dark PV discharge.
Patient Data
Age: 35 years
Gender: Female
From the case:
Cesarean scar niche
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There is a hypoechoic area noted in the uterine isthmus with discontinuation of the myometrium at the site of the previous Cesarean scar. It measures 1.4 x 1.0 x 0.5 cm.
Both ovaries are normal (not shown).
Case Discussion
The anechoic fluid collection representing blood in a Cesarean scar niche can be the cause of the dysfunctional uterine bleeding, which explains the vaginal spotting observed in this instance following a regular menstrual cycle.
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