Cesarean scar abscess: A case report and a review of the literature

Takako Taguchi, Seiji Mabuchi, Toshio Kimura, Tadashi Kimura

Department of Gynecology, Ashiya Municipal Hospital, Ashiya, Japan.
Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Japan.

DOI: 10.4236/ojog.2012.23050                

Abstract

Cesarean section and the resultant Cesarean scar are known to be associated with obstetric complications in subsequent pregnancies. Cesarean scar is also associated with gynecological conditions that can adversely affect the patient’s quality of life. We describe a very rare case of Cesarean scar abscess that developed 8 years after a Cesarean delivery, which was managed by emergency hysterectomy.

Keywords

Cesarean Section; Cesarean Scar Dehiscence; Abscess

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Florio, P., Filippeschi, M., Moncini, I., Marra, E., Franchini, M. and Gubbini, G. (2012) Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility. Current Opinion in Obstetrics & Gynecology, 24, 180-186.
[2]	Diaz-Garcia, C., Estellés, J.G., Escrivá, A.M., Mora, J.J., Torregrosa, R.R. and Sancho, J.M. (2009) Scar abscess six years after cesarean section: Laparoscopic and hysteroscopic management. Journal of Minimally Invasive Gynecology, 16, 785-788. doi:10.1016/j.jmig.2009.07.020
[3]	Ou, Y.C., Huang, K.H., Lin, H., Eng, H.L., Lu, H.M. and Changchien, C.C. (2011) Sepsis secondary to cesarean scar diverticulum resembling an infected leiomyoma. Taiwan Journal of Obstetrics and Gynecology, 50, 100-102. doi:10.1016/j.tjog.2011.01.004
[4]	Fabres, C., Aviles, G., De La Jara, C., Escalona, J., Mu?oz, J.F., Mackenna, A., Fernández, C., Zegers-Hochschild, F. and Fernández, E. (2003) The cesarean delivery scar pouch: Clinical implications and diagnostic correlation between transvaginal sonography and hysteroscopy. Journal of Ultrasound in Medicine, 22, 695-700.
[5]	Gubbini, G., Centini, G., Nascetti, D., Marra, E., Moncini, I., Bruni, L., Petraglia, F. and Florio, P. (2011) Surgical hysteroscopic treatment of cesarean-induced isthmocele in restoring fertility: Prospective study. Journal of Minimally Invasive Gynecology, 18, 234-237. doi:10.1016/j.jmig.2010.10.011
[6]	Gubbini, G., Casadio, P. and Marra, E. (2008) Resectoscopic correction of the “isthmocele” in women with postmenstrual abnormal uterine bleeding and secondary infertility. Journal of Minimally Invasive Gynecology, 15, 172-175. doi:10.1016/j.jmig.2007.10.004
[7]	Menada Valenzano, M., Lijoi, D., Mistrangelo, E., Costantini, S. and Ragni, N. (2006) Vaginal ultrasonographic and hysterosonographic evaluation of the low transverse incision after caesarean section: Correlation with gynaecological symptoms. Gynecologic and Obstetric Investigation, 61, 216-222. doi:10.1159/000091497
[8]	Donnez, O., Jadoul, P., Squifflet, J. and Donnez, J. (2008) Laparoscopic repair of wide and deep uterine scar dehiscence after cesarean section. Fertility and Sterility, 89, 974-980. doi:10.1016/j.fertnstert.2007.04.024