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Erickson, S.S. and Van Voorhis, B.J. (1999) Intermenstrual Bleeding Secondary to Cesarean Scar Diverticuli: Report of Three Cases. Obstetrics & Gynecology, 93, 802-805.

has been cited by the following article:

  • TITLE: Transvaginal 3D Ultrasound Evaluation of Post-Cesarean Section Uterine Diverticulum

    AUTHORS: Cui-Lan Li, Xue-Tang Mo, Kai-Xuan Deng, Dun-Jin Chen, Xing-Cheng Gao, Jin-Guo Zhai, Yi-Ming Liao, Hui-Ru Dai, Xiang Cai

    KEYWORDS: Post-Cesarean Section, Uterine Diverticulum, Transvaginal 3D Ultrasound, LUS Myometrial Thickness

    JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.5 No.12, October 15, 2015

    ABSTRACT: Objectives: This study focused on evaluating the value of transvaginal 3D ultrasound for the diagnosis and prognostic assessment of post-cesarean section uterine diverticulum. Materials and Methods: We retrospectively analyzed the data from 32 patients with post-cesarean section uterine diverticulum over three recent years. In all patients, transvaginal 3D ultrasound was used to measure the size of the uterine diverticulum and the thickness of the lower uterine segment (LUS) and myometrium. Patients with a LUS with a myometrial thickness under 4 mm underwent resection and repair surgery; those with a LUS with a myometrial thickness over 4 mm underwent hysteroscopic resection. The postoperative sonograms were compared with preoperative images to evaluate the efficacy of various treatments. Results: The mean length, width and depth of the uterine diverticula were 18.30 ± 2.80 mm, 9.14 ± 3.20 mm and 11.49 ± 2.71 mm, respectively. The average LUS myometrial thickness was 3.40 ± 0.80 mm (with a range of 1.6 mm - 6.3 mm). After surgery, two patients’ sonograms still showed diverticula at the post-cesarean section scar, measuring 6 mm × 7 mm × 6 mm and 6 mm × 8 mm × 4 mm. There were significant differences in the size of uterine diverticula between preoperative and postoperative sonograms (P