Difference between revisions of "Uterine isthmocele"

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==General==
==General==
*[[Clinical diagnosis]].
*[[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.
</ref> thus, it may be surgically removed.
*Common 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>


==Microscopic==
==Microscopic==

Revision as of 15:10, 9 October 2018

Uterine isthmocele, also cesarean scar pouch, niche, cesarean scar defect, is 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:

See also

References

  1. 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.
  2. Melo-Cerda, I. (Aug 2014). "[Cesarean scar defect].". Ginecol Obstet Mex 82 (8): 530-4. PMID 25282945.
  3. 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.