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558 PART II Abdominal and Pelvic Sonography

A

B

C

D

FIG. 15.30 Cesarean Section Scars Remote From Time of Surgery on Transvaginal Sonography (TVS). (A) Normal cesarean section scar

(arrow) in anterior lower uterine segment. (B) Pseudomass due to bulbous area of myometrium, in this instance located between two cesarean

sections scars (arrows). This could be mistaken for a leiomyoma. (C) Pseudomass (P) due to bulbous area of myometrium superior to a cesarean

section scar (arrow). (D) Fluid (arrow) extends into the cesarean section scar in the anterior lower uterine segment. Variable terms, including

“isthmocele,” have been used to describe this inding.

Acknowledgment

he authors would like to acknowledge Dr. Shia Salem for

use of the prior version of his chapter for this current edition.

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