Pictures of uterine scar diverticulum

The diverticulum here refers to the localized enlargement or cystic protrusion of the mucosa of the intestinal visceral organs protruding outward from the wall layer. It is commonly found in the esophagus, duodenum, jejunum, etc. in the digestive tract, and in the bladder in the urogenital system. It can also occur in both fallopian tubes as bilateral fallopian tube diverticula. If it is a uterine diverticulum, it is divided into congenital and acquired. Congenital is related to abnormalities in the embryonic development process, and acquired diverticulum is also called pseudodiverticulum. In 2020, with the increase in caesarean section rates, acquired diverticula have also gradually increased, and there are different symptoms with different levels.

1. First, for mild cases, it is mainly a fissure-like damage to the muscle wall at the wound of the lower uterine segment. One side is connected to the uterine cavity, and the other side can be seen with layered endometrium and muscle wall, and the serosal layer is intact. The clinical manifestations are relatively mild, and only a small amount of vaginal bleeding or back pain and lower abdominal distension are present.

2. Second, if it is mild to moderate, the patient's lower uterine wound muscle wall damage reaches the serosa layer, the muscle layer is very thin, but the serosa layer is still flat and continuous. This type is mostly manifested as prolonged menstruation, menorrhagia, or accompanied by lower abdominal distension and discomfort that worsens with the menstrual cycle.

3. Thirdly, if it reaches the final moderate or severe stage, you need to be careful, because it may cause weakness of the lower uterine segment due to poor wound healing. The endometrium, myometrium and serosa can be seen at the wound site, protruding outward like a hernial sac, forming obvious diverticulum changes. Some diverticula have irregular blood clot-like warming in the middle that is higher or slightly lower, leading to continuous vaginal bleeding.

Frequently Asked Questions:

From the above, we can understand that although women's uterine scar diverticulum is a relatively rare disease with a relatively low incidence rate, and if it is mild, it is very easy to treat, but if the condition worsens, it must be taken seriously.