Imaging Evaluation of Maternal Complications Associated with Repeat Cesarean Deliveries

MRI in pregnancy: Indications and practical considerations

“…Fortunately, uterine rupture is rare, occurring in 1 in 5700 to 20,000 pregnancies . Usually occurring in the setting of trauma or dehiscence of a cesarean section scar, uterine rupture carries a high mortality for both the patient and fetus . US is considered the primary imaging modality.…”

“…51,52 Usually occurring in the setting of trauma or dehiscence of a cesarean section scar, uterine rupture carries a high mortality for both the patient and fetus. 53,54 US is considered the primary imaging modality. However, MRI can offer improved visualization of the uterine wall in equivocal US cases where the patient is clinically stable.…”

MRI of Acute Gynecologic Conditions

“…) . In cases of partial dehiscence, it is essential to measure the minimum wall thickness at the site of the dehiscence, as patients with a minimum wall thickness of <2.5 mm require surgical repair …”

The CORONIS trial on caesarean section

“…Besides, scar defect was not studied by appropriate and available methods in non-pregnant women before the following pregnancies. [2][3][4][5][6][7] Second, the outcomes of peritoneum closure or non-closure are associated with postsurgical made on the impact of the diff erent techniques on these outcomes. Our view is different.…”

“…In our opinion, there are still some unresolved issues concerning caesarean section technique behind the CORONIS trial. That is why laparoscopy, 2 hysteroscopy, 3 hysterosalpingography, 4 ultrasound, 5,6 and modern visualisation technologies 7 should be applied for precise assessment of the scar defect in the lower uterine segment in individuals who have previously undergone caesarean section.…”