Patient Question: Disease:I’m pregnant with diverticulum in my uterus Description:Hello Dr. Wang! This is the result of my ultrasound nine months ago. The uterus is 50 mm long, 42 mm anterior-posterior, 53 mm transverse, and normal in size. The endometrium is 11mm thick with uniform echogenicity. The echogenicity of the myometrium was not homogeneous. A fluid area of 5mmx2mm was seen in the lower part of the anterior uterine wall at the cesarean incision, and no obvious abnormal blood flow letter was seen in the ultrasound. Bilateral ovaries were clear and no abnormal swelling was seen in bilateral adnexa. Ultrasound suggests: Abnormal lower anterior uterine wall, consider scar diverticulum. Hope to provide help:In October 2014, I found out I had an unplanned pregnancy, after that I went to several professional hospitals, the doctors said that it is extremely dangerous to have a diverticulum pregnancy, and there is a risk of uterine rupture in the middle and late stages of pregnancy! I am now 22 weeks pregnant, and today’s B-photograph shows that the thinnest part of the anterior wall of the lower uterus is about 3.6mm thick, so I am really afraid that it will be dangerous at any time. If there is a risk, when does it start? What should I pay attention to in general? I hope that Dr. Wang you see my question, please reply to me as soon as possible, learned that you are an authority in this area, would love to hear your opinion. The hospital department visited:Guangzhou Zhongshan First Hospital Obstetrics and Gynecology Department of Gynecology Shanghai First Maternal and Child Health Hospital Wang Xipeng replied: The current situation is okay, you should closely follow the thickness of the lower uterine muscular layer, if there is a situation at any time admitted to the hospital, pending delivery Patient Question: Dr. Wang, thank you for your reply. May I also ask you why I sometimes have vague pain in the abdomen of my uterus, is it because I have this diverticulum? How many weeks do I need to be hospitalized if I am in the late stage of pregnancy? It’s hard to say when you should be hospitalized. Sudden lower abdominal pain requires hospitalization, but at other times, you should follow up closely. Patient Question: Dr. Wang, thank you very much for your reply. I know, I will closely observe the whole pregnancy. Reply from Wang Xipeng, Department of Gynecology, Shanghai First Maternal and Child Health Hospital: You really need to follow up very closely. Patient Question: Hi Dr. Wang, I asked you before about my diverticulum pregnancy. In my cesarean section open abdomen doctor told me that I can not see my wound diverticulum, only see the scar bladder uterus at a small place so thin, it is possible that this is diverticulum pregnancy flattened! Now I still have my period for about 13 or 14 days, which has affected my life! Can I still have my diverticulum patched in my case? If so, how long after delivery can I go to you for surgery? I also want to have one more baby, is that okay? I hope Dr. Wang can reply me as soon as you see my message, thank you very much! Reply from Wang Xipeng, Department of Gynecology, Shanghai First Maternal and Child Health Hospital: I am in the article. I have told many patients in my articles and clinic that it is impossible to repair diverticulum during cesarean delivery. So your case is too normal. The lower end of the uterus will be elongated during cesarean delivery and it is difficult to identify it, so we have to wait for non-pregnancy. Patient Question: Thank you very much, Director Wang, for replying to me out of your busy schedule! I am now four months postpartum, how long after delivery would it be appropriate for me to come to you for diverticulum surgery? Is it okay if I want to have another baby after the surgery? I have a lot of questions, thank you for your patience! Reply from Wang Xipeng, Gynecology Department, Shanghai First Maternal and Child Health Hospital: At least six months after delivery Patient Question: I know, I will come to you in Shanghai six months after delivery to repair the diverticulum surgery! I also want to ask you, Director Wang, if I can still have another baby after diverticulum repair surgery like this? Answer from Wang Xipeng, Gynecology Department, Shanghai First Maternal and Child Health Hospital: No problem, you can have another baby. Patient Question: Hello, Dr. Wang! I am eight months post cesarean section and I want to go to Shanghai next month to have diverticulum surgery at your hospital? Is it possible? I’m from Zhaoqing and it’s far to come to Shanghai, how many times do I come to Shanghai?