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Incidental Findings of Caesarean Section Scar Defect - Case Reports and a Review of its Investigations and Management

Abstract

Felix Wong Wu Shun, Eric Lee Tat Choi and Belinda Leung Fung Ha

The clinical awareness of Caesarean scar defect (CSD) as a cause of abnormal uterine bleeding and adverse obstetrical outcome is still lacking among gynaecologists and their patients. Patients with CSD are mostly asymptomatic, though the lesion may be associated with symptoms like abnormal uterine bleeding, pelvic pain, infertility, and adverse pregnancy outcome. This paper is to report two patients with incidental findings of CSD on ultrasound scanning and MRI and to discuss on their presentations, investigations, and dilemma on treatment options of this condition.

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