Difference between revisions of "Uterine isthmocele"
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'''Uterine isthmocele''', also '''cesarean scar pouch''', '''niche''', '''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== | ==General== | ||
*[[Clinical diagnosis]]. | *[[Clinical diagnosis]]. | ||
*It may be | *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. | </ref> thus, it may be surgically removed. | ||
==Microscopic== | ==Microscopic== | ||
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*[[Endometriosis]] (external aspect of uterus). | *[[Endometriosis]] (external aspect of uterus). | ||
*[[Adenomyosis]]. | *[[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== | ==See also== | ||
Latest revision as of 15:40, 9 October 2018
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.
- Common (minor) complication of cesarean section; possibly, may be reduced by surgical technique.[1]
- High prevalence - one estimate is 63% cesarean section patients have an isthmocele.[2]
- It may be associated with secondary infertility;[3] 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
Submitted as "Isthmocele", Excision:
- Benign smooth (uterine) muscle with scant endometrial tissue
and scar, compatible with isthmocele/cesarean scar.
See also
References
- ↑ Yazicioglu, F.; Gökdogan, A.; Kelekci, S.; Aygün, M.; Savan, K. (Jan 2006). "Incomplete healing of the uterine incision after caesarean section: Is it preventable?". Eur J Obstet Gynecol Reprod Biol 124 (1): 32-6. doi:10.1016/j.ejogrb.2005.03.023. PMID 16023780.
- ↑ Melo-Cerda, I. (Aug 2014). "[Cesarean scar defect].". Ginecol Obstet Mex 82 (8): 530-4. PMID 25282945.
- ↑ Florio, P.; Filippeschi, M.; Moncini, I.; Marra, E.; Franchini, M.; Gubbini, G. (Jun 2012). "Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility.". Curr Opin Obstet Gynecol 24 (3): 180-6. doi:10.1097/GCO.0b013e3283521202. PMID 22395067.