Presentation
Irregular PV bleeding. 4 x LSCS. Cesarean section niche
Patient Data
Age: 35 years
Gender: Female
From the case:
Cesarean scar niche
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Thinning of the lower anterior uterine wall is noted, with focal triangular discontinuity of the myometrium and a small amount of T1 high signal intensity fluid/blood.
Case Discussion
The accumulation of blood in the cesarean scar niche may serve as a source of dysfunctional uterine bleeding, explaining the vaginal spotting observed after the routine menstrual cycle in this case.
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