Uterine deformity caused by surgery during pregnancy

Objective: The purpose of our study was to determine the cause of a unigue deformity of the uterus, in which the cervix is elongated and appears fixed to the anterior abdominal wall. Materials and Methods: Imaging from 2,558 consecutive MR studies of the pelvis of women were retrospectively reviewed for the simultaneous presence of elongation of the uterine cervix, angulation of the uterine isthmus just beneath the anterior abdominal wall, and vertical orientation of the long axis of the uterine corpus. Results: Fourteen cases exhibited the uterine deformity; 13 of these cases had histories of cesarean section (CS) performed from 9 to 33 years (mean 18.2 years) previous to MRI. Among them, six patients had a history of multiple CS