Uterine isthmocele: Difference between revisions

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'''Uterine isthmocele''', also '''cesarean scar pouch''' '''cesarean scar defect''', is pseudocyst that arises from cesarean section at uterine incision site.

'''Uterine isthmocele''', also '''cesarean scar pouch''', '''niche''', '''cesarean scar defect''', is a [[pseudocyst]] that arises from cesarean section at uterine incision site.

==General==

*[[Clinical diagnosis]].

*It may be ~~assocatied~~ with secondary infertility;<ref name=pmid22395067>{{Cite journal | last1 = Florio | first1 = P. | last2 = Filippeschi | first2 = M. | last3 = Moncini | first3 = I. | last4 = Marra | first4 = E. | last5 = Franchini | first5 = M. | last6 = Gubbini | first6 = G. | title = Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility. | journal = Curr Opin Obstet Gynecol | volume = 24 | issue = 3 | pages = 180-6 | month = Jun | year = 2012 | doi = 10.1097/GCO.0b013e3283521202 | PMID = 22395067 }}

*Common (minor) complication of cesarean section; possibly, may be reduced by surgical technique.<ref name=pmid16023780>{{Cite journal | last1 = Yazicioglu | first1 = F. | last2 = Gökdogan | first2 = A. | last3 = Kelekci | first3 = S. | last4 = Aygün | first4 = M. | last5 = Savan | first5 = K. | title = Incomplete healing of the uterine incision after caesarean section: Is it preventable? | journal = Eur J Obstet Gynecol Reprod Biol | volume = 124 | issue = 1 | pages = 32-6 | month = Jan | year = 2006 | doi = 10.1016/j.ejogrb.2005.03.023 | PMID = 16023780 }}</ref>

*High prevalence - one estimate is 63% cesarean section patients have an isthmocele.<ref name=pmid25282945>{{Cite journal | last1 = Melo-Cerda | first1 = I. | title = [Cesarean scar defect]. | journal = Ginecol Obstet Mex | volume = 82 | issue = 8 | pages = 530-4 | month = Aug | year = 2014 | doi = | PMID = 25282945 }}</ref>

*It may be associated with secondary infertility;<ref name=pmid22395067>{{Cite journal | last1 = Florio | first1 = P. | last2 = Filippeschi | first2 = M. | last3 = Moncini | first3 = I. | last4 = Marra | first4 = E. | last5 = Franchini | first5 = M. | last6 = Gubbini | first6 = G. | title = Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility. | journal = Curr Opin Obstet Gynecol | volume = 24 | issue = 3 | pages = 180-6 | month = Jun | year = 2012 | doi = 10.1097/GCO.0b013e3283521202 | PMID = 22395067 }}

</ref> thus, it may be surgically removed.

==Microscopic==

Features:

*Smooth muscle with fibrosis/scar.

*+/-Chronic inflammation.

DDx:

*[[Endometriosis]] (external aspect of uterus).

*[[Adenomyosis]].

*[[Endosalpingiosis]].

*[[Uterine leiomyoma]].

==Sign out==

<pre>

Submitted as "Isthmocele", Excision:

- Benign smooth (uterine) muscle with scant endometrial tissue

and scar, compatible with isthmocele/cesarean scar.

</pre>

==See also==

Line 13:

Line 32:

[[Category:~~Clinical diagnosis~~]]

[[Category:Diagnosis]]

@@ Line 1: / Line 1: @@
-'''Uterine isthmocele''', also '''cesarean scar pouch''' '''cesarean scar defect''',  is pseudocyst that arises from cesarean section at uterine incision site.
+'''Uterine isthmocele''', also '''cesarean scar pouch''', '''niche''', '''cesarean scar defect''',  is a [[pseudocyst]] that arises from cesarean section at uterine incision site.
 ==General==
 *[[Clinical diagnosis]].
-*It may be assocatied with secondary infertility;<ref name=pmid22395067>{{Cite journal  | last1 = Florio | first1 = P. | last2 = Filippeschi | first2 = M. | last3 = Moncini | first3 = I. | last4 = Marra | first4 = E. | last5 = Franchini | first5 = M. | last6 = Gubbini | first6 = G. | title = Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility. | journal = Curr Opin Obstet Gynecol | volume = 24 | issue = 3 | pages = 180-6 | month = Jun | year = 2012 | doi = 10.1097/GCO.0b013e3283521202 | PMID = 22395067 }}
+*Common (minor) complication of cesarean section; possibly, may be reduced by surgical technique.<ref name=pmid16023780>{{Cite journal  | last1 = Yazicioglu | first1 = F. | last2 = Gökdogan | first2 = A. | last3 = Kelekci | first3 = S. | last4 = Aygün | first4 = M. | last5 = Savan | first5 = K. | title = Incomplete healing of the uterine incision after caesarean section: Is it preventable? | journal = Eur J Obstet Gynecol Reprod Biol | volume = 124 | issue = 1 | pages = 32-6 | month = Jan | year = 2006 | doi = 10.1016/j.ejogrb.2005.03.023 | PMID = 16023780 }}</ref>
+*High prevalence - one estimate is 63% cesarean section patients have an isthmocele.<ref name=pmid25282945>{{Cite journal  | last1 = Melo-Cerda | first1 = I. | title = [Cesarean scar defect]. | journal = Ginecol Obstet Mex | volume = 82 | issue = 8 | pages = 530-4 | month = Aug | year = 2014 | doi =  | PMID = 25282945 }}</ref>
+*It may be associated with secondary infertility;<ref name=pmid22395067>{{Cite journal  | last1 = Florio | first1 = P. | last2 = Filippeschi | first2 = M. | last3 = Moncini | first3 = I. | last4 = Marra | first4 = E. | last5 = Franchini | first5 = M. | last6 = Gubbini | first6 = G. | title = Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility. | journal = Curr Opin Obstet Gynecol | volume = 24 | issue = 3 | pages = 180-6 | month = Jun | year = 2012 | doi = 10.1097/GCO.0b013e3283521202 | PMID = 22395067 }}
 </ref> thus, it may be surgically removed.
+==Microscopic==
+Features:
+*Smooth muscle with fibrosis/scar.
+*+/-Chronic inflammation.
+DDx:
+*[[Endometriosis]] (external aspect of uterus).
+*[[Adenomyosis]].
+*[[Endosalpingiosis]].
+*[[Uterine leiomyoma]].
+==Sign out==
+<pre>
+Submitted as "Isthmocele", Excision:
+     - Benign smooth (uterine) muscle with scant endometrial tissue
+       and scar, compatible with isthmocele/cesarean scar.
+</pre>
 ==See also==
@@ Line 13: / Line 32: @@
 {{Reflist|1}}
-[[Category:Clinical diagnosis]]
+[[Category:Diagnosis]]

Uterine isthmocele: Difference between revisions

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