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Gynecological and postpartum ultrasonography of cesarean uterine scar defects: a pictorial essay

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Abstract

There is an increasing incidence of cesarean scar defect. This article will discuss and show different and variable sonographic presentations of scar niches and uterine postpartum ultrasonography with vaginal birth after cesarean section that can be confusing and many should be unaware of. This brief review aims to help practitioners to avoid confusion and be aware and acquainted with the different sonographic findings encountered in practice related to cesarean scar. It can lead to uterine rupture I labour, dehiscence in pregnancy and placenta accreta in the future pregnancy, but this is not evidence-based and not even a contraindication for pregnancy. It is neither an indication of repair for the presenting patient nor an indication to screen these patients for such complications. It is treated if associated with infertility or bleeding and not in asymptomatic ones.

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Elagwany was the only contributor in the conception, planning, carrying out, analyzing and writing up of the work.

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Correspondence to Ahmed Samy El Agwany.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from the patients included in the study.

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El Agwany, A.S. Gynecological and postpartum ultrasonography of cesarean uterine scar defects: a pictorial essay. J Ultrasound 23, 613–619 (2020). https://doi.org/10.1007/s40477-019-00403-3

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  • DOI: https://doi.org/10.1007/s40477-019-00403-3

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