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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2013; 23(03): 258-261
DOI: 10.4103/0971-3026.120265
Genitourinary and Obstetric Radiology

Rare complications of cesarean scar

Divyesh Mahajan
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, India
,
Mandeep Kang
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, India
,
Manavjit Singh Sandhu
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, India
,
Vanita Jain
Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, India
,
Naveen Kalra
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, India
,
Niranjan Khandelwal
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Cesarean scar pregnancy (CSP) and cesarean scar dehiscence (CSD) are the most dreaded complications of cesarean scar (CS). As the incidence of CS is increasing worldwide, so is the incidence of CSP, especially in cases with assisted reproduction techniques. It is of utmost importance to diagnose CSP in the early first trimester, as it can lead to myometrial rupture with fatal outcome. On the other hand, CSD may be encountered during pregnancy or in the postpartum period. CSD in the postpartum period is very rare and can cause secondary postpartum hemorrhage (PPH) leading to increased maternal morbidity or even death if not diagnosed and managed promptly. Both complications can be diagnosed on ultrasonography (USG) and confirmed on magnetic resonance imaging (MRI). These two conditions carry high morbidity and mortality. In this article, we highlight the role of imaging in the early diagnosis and management of these conditions.

Keywords

Cesarean scar dehiscence - cesarean scar pregnancy - magnetic resonance imaging - ultrasonography


Publication History

Article published online:
30 July 2021

© 2013. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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