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.

General

  • Clinical diagnosis.
  • It may be assocatied with secondary infertility;[1] thus, it may be surgically removed.
  • Common complication of cesarean section; possibly, may be reduced by surgical technique.[2]

Microscopic

Features:

  • Smooth muscle with fibrosis/scar.
  • +/-Chronic inflammation.

DDx:

See also

References

  1. 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.
  2. 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.