Could Pelvic Pain After C-Section Be Adhesions to Abdominal Wall?

Article presents 10 cases of chronic pelvic pain after C section that resolved with lysing adhesions of uterus to abdominal wall. – called it the “Captive Uterus”

Med Hypotheses. 2019 Jan;122:98-102. doi: 10.1016/j.mehy.2018.10.010.
Captive uterus syndrome: An unrecognized complication of cesarean sections?
Hardy I et al
https://www.ncbi.nlm.nih.gov/pubmed/30593433

Common symptoms:

• early onset lower abdominal pain that persists
• may radiates to  groin
• maybe exacerbated by breastfeeding (oxytocin responsible for  ejection of milk causes contractions of the uterus )
• aggravated by certain movements and posture changes  – lying-sitting-standing
• deep thrust dyspareunia with sex

Pelvic exam would show:

• uterus is subinvoluted
• uterus attached to the abdominal wall
• cervix is high
• some cervical motion tenderness as a result of adhesions
• no local dyspareunia causes

All cases treated with surgery were virtually cured.

Comment – hope posting this helps someone…

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