First AD

Second AD

What's your diagnosis in this patient with history of previous lower segment cesarean section (LSCS)?

A small cystic lesion is seen along the LSCS scar. A urine pregnancy test was negative. There is no evidence of vascular ring surrounding the cystic lesion, thus ruling out a scar ectopic gestation. Small asymptomatic cysts such as these are sometimes present in post-LSCS scars and only need to be followed by endovaginal scans for changes in size and appearance.

Pregnancy and Birth

QUIZ: These images are from a patient who has had a c-section. What do you see?

Image IQ: Ectopic Gestation or Something Else?

Joe Antony, MD