Pregnancy in an isthmocele: A rare case from Nepal

Tandukar, Alina; Aryal, Roshan; Khaniya, Bishal; Maskey, Suvana; Ojha, Neebha; Chataut, Dinesh

doi:10.1002/ccr3.6875

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…Several researchers have examined this correlation to better understand the involvement of isthmocele in ectopic pregnancies. A study published correlated the presence of isthmocele with an increased risk of developing an ectopic pregnancy compared to those without this uterine condition [49]. The correlation between isthmocele and ectopic pregnancy in the group of women who had undergone uterine surgery was significantly higher among women with isthmocele than those without isthmocele.…”

Section: Ectopic Pregnancy On the Scarmentioning

confidence: 98%

Isthmocele and Infertility

Baldini,

Lot,

Malvasi

et al. 2024

JCM

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Isthmocele is a gynecological condition characterized by a disruption in the uterine scar, often associated with prior cesarean sections. This anatomical anomaly can be attributed to inadequate or insufficient healing of the uterine wall following a cesarean incision. It appears that isthmocele may impact a woman’s quality of life as well as her reproductive capacity. The incidence of isthmocele can range from 20% to 70% in women who have undergone a cesarean section. This review aims to sum up the current knowledge about the effect of isthmocele on fertility and the possible therapeutic strategies to achieve pregnancy. However, currently, there is not sufficiently robust evidence to indicate the need for surgical correction in all asymptomatic patients seeking fertility. In cases where surgical correction of isthmocele is deemed necessary, it is advisable to evaluate residual myometrial thickness (RMT). For patients with RMT >2.5–3 mm, hysteroscopy appears to be the technique of choice. In cases where the residual tissue is lower, recourse to laparotomic, laparoscopic, or vaginal approaches is warranted.

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Section: Ectopic Pregnancy On the Scarmentioning

confidence: 98%