Scar Abscess Six Years after Cesarean Section: Laparoscopic and Hysteroscopic Management

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

“…Its precise incidence is unknown; however, to the best of our knowledge, only two cases have been reported in the English literature [2,3] (Table 1). The following mechanisms have been reported to lead to the formation of Cesarean scar abscesses: The formation of scar dehiscence, a myometrial discontinuity at the site of a previous Cesarean scar, is caused by unknown mechanisms.…”

“…A lack of coordinated muscular contractions around Cesarean scar dehiscence allows the accumulation of menstrual debris and diverticulum formation. The accumulation of menstrual blood in the diverticulum can result in intermittent bleeding and/or abdominal pain and can also promote infection [2,3].…”

Conservative Management of a Scar Abscess formed in a Cesarean-induced Isthmocele

“…Only two cases have so far been reported (shown in Table 1 with their characteristics). One 6 years after CS treated by hysteroscopic and laparoscopic surgery after failed antibiotics ( 6 ), and one 8 years after CS treated by hysterectomy ( 7 ). Defects have been described in the scar location after CS in 4.8% ( 8 , 9 ) such as myometrial discontinuity at the site of a previous CS scar, including the production of mucus, blood, and the collection of menstrual product ( 10 – 12 ).…”

A Growing Concern: Cesarean Scar Defect and Massive Uterine Bleeding

“…At last, defect repair under laparoscopic has been successfully performed in an attempt to control the bleeding, and the postoperative follow-up was uneventful (Figure 3). product1, which also acts as promoting factors for infection [11]. The other reason was reported by Morris [12] that a congested endometria fold, lymphocytic infiltration and small polyps in the scar area demonstrated by histopathologica study of cesarean section scars specimens may contribute to prolonged menstruation.…”