Uterine isthmocele
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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.
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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.