Postmenopausal bleeding in a woman with caesarean scar defect: A case report.

Abstract

BACKGROUND:

Caesarean scar defect (CSD) is a complication of caesarean section with implications for abnormal uterine bleeding. Most cases of CSD are discovered incidentally or with the development of menstrual changes. However, CSD may rarely have a longer latency period, resulting in postmenopausal presentation of bleeding and abdominal pain.

CASE:

A 52-year-old postmenopausal woman presented with acute suprapubic pain and postmenopausal bleeding. Pelvic ultrasonography and magnetic resonance imaging suggested bleeding from a CSD. Her symptoms resolved with expectant management. She subsequently underwent elective hysterectomy and bilateral salpingo-oophorectomy, which provided histological confirmation of a CSD.

CONCLUSION:

Caesarean scar defect should be considered in patients who present with acute abnormal uterine bleeding or pelvic pain with a history of caesarean section, even after menopause.

• Authors: Hui Men Selina Chin, Zheng Yuan Ng, Liying Yang
• Journal: Case reports in women's health (Case Rep Womens Health) Vol. 27 Pg. e00235 (Jul 2020) ISSN: 2214-9112 [Electronic] Netherlands
• PMID: 32637326 (Publication Type: Case Reports)
• Copyright: © 2020 The Authors.