02/08/2025
A case of post-cesarean scar hematoma.
The patient is 20 days post- C/S and presents with lower abdominal pain. No history of fever.
On ultrasound, a bulky uterus with a mixed echogenic area at the site of the uterine cesarean scar, with free fluid collection in the endometrial cavity.
No internal vascularity found on Doppler.
This appearance is most consistent with a post-cesarean scar hematoma.
No free fluid is seen in the abdominal cavity.
Further clinical correlation is essential to rule out other complications.