MANAGEMENT AND OUTCOMES OF CESAREAN SCAR DEFECTS (CSD) IN PATIENTS WITH SECONDARY INFERTILITY

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Following a cesarean section, a discontinuity or diverticulum, in the endometrium and myometrium at the anterior lower uterine segment may develop1. This diverticulum is referred to as a “cesarean scar defect” (CSD). These defects can present with a number of symptoms, including abnormal uterine bleeding, dysmenorrhea, dyspareunia, cesarean scar ectopic pregnancies, or secondary infertility2. Some patients are also asymptomatic. CSDs are visualized as a fluid-filled, anechoic, triangular region, often at the isthmus, which is detected by imaging during workup for these symptoms.