Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2015, Vol. 42 Issue (5): 705-707    DOI: 10.12891/ceog1922.2015
Case Report Previous articles | Next articles
Isthmocele in a retroflexed uterus: a report of an unrecognized case
V. Fiaschetti1, M. Massaccesi1, *(), M. Fornari1, M. Nezzo1, V. Da Ros1, G. Sorrenti2, G. Simonetti1
1Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital Tor Vergata, Rome
2Department of Obstetrics and Gynecology, Tor Vergata University, Rome (Italy)
Download:  PDF(128KB)  ( 10 )
Export:  BibTeX | EndNote (RIS)      
Abstract  
The term “isthmocele” refers to a niche on the anterior wall of the uterine isthmus or of the cervical canal at the site of a previous cesarean delivery scar. Such anatomic defect can cause many gynecologic sequelae that only recently have being identified and described. Hysteroscopy is commonly considered the gold standard for the diagnosis and also for the treatment, at least in the case of defects of small size. The authors described the case of a 37-year-old woman who underwent a cesarean section (CS) seven years before, with a long lasting history of menstrual irregularities, and pelvic pain increasing during menstruation at the hypogastric level. Magnetic resonance imaging (MRI) showed an exceptionally large isthmocele on the anterior wall of a retroflexed uterus which was otherwise misinterpreted as the uterine cavity filled with menstrual blood during a previous hysteroscopy (HSC). Although exceptional, this case highlights the possibility that a large sized isthmocele in a retroflexed uterus could be misinterpreted as the uterine cavity filled by menstrual blood at HSC. In this case MRI definitely clarified the diagnosis.
Key words:  Isthmocele      Magnetic resonance imaging      Retroflexed uterus      Hysteroscopy     
Published:  10 October 2015     
*Corresponding Author(s):  M. MASSACCESI     E-mail:  m.massaccesi@email.it

Cite this article: 

V. Fiaschetti, M. Massaccesi, M. Fornari, M. Nezzo, V. Da Ros, G. Sorrenti, G. Simonetti. Isthmocele in a retroflexed uterus: a report of an unrecognized case. Clinical and Experimental Obstetrics & Gynecology, 2015, 42(5): 705-707.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog1922.2015     OR     https://ceog.imrpress.com/EN/Y2015/V42/I5/705

[1] Alessandra Gallo, Attilio Di Spiezio Sardo, Antonietta Legnante, Romolo Di Iorio, Carlo De Angelis. Hysteroscopy in COVID-19 times[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1017-1021.
[2] Maurizio Nicola D'Alterio, Francesco Scicchitano, Daniela Fanni, Gavino Faa, Antonio Simone Laganà, Marco Noventa, Felice Sorrentino, Luigi Nappi, Stefano Angioni. Ex vivo myolysis with dual wavelengths diode laser system: macroscopicand histopathological examination[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 875-882.
[3] Rocio Montejo, Jonas Hermansson, Lena Sandin Wranker, Louise Danielsson. Doula support in office hysteroscopy: results from a pilot study[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 955-961.
[4] Laura Joigneau, Yolanda Ruiz, Coral Bravo, Julia Bujan, Miguel A Ortega, Juan De León-Luis. The brainstem-tentorium angle revisited. Difficulties encountered and possible solutions[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 991-994.
[5] Li-Min Zhou, Jie Duan, Yan Yang. Endoscopic treatment with concomitant ultrasound monitoring of obstructive septum in Robert's uterus following pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 711-714.
[6] L.B. Liu, H.T. Sun, S.F. Liu, R.X. Shi. Laparoscopy combined with hysteroscopy for cesarean scar pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 911-914.
[7] S.J. Liu, W. Lv, M. Shi, B.L. Bi, H.D. Wang. Hysteroscopic outcomes after radiofrequency ablation of myomas: Two case reports and literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 991-993.
[8] M. Elmahdy, I. Elfourtia, H. Maghraby. Office hysteroscopy in cases of recurrent implantation failure; Do or not to do[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(5): 723-728.
[9] G. Garuti, E. Castellacci, S. Calabrese, S. Calzolari. Hysteroscopic removal of retained products of conception with enhanced vascularity: a study of reliability[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 472-477.
[10] H. Morita, Y. Yamasaki, S. Sugino, H. Koh, N. Kojima, K. Kitajima, T. Yamazaki, K. Takeuchi. Successful laparoscopic tumorectomy of struma ovarii diagnosed preoperatively[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 312-314.
[11] S. B. Cohen, M. Shapira, A. Baron, J. Bouaziz, R. Mashiach, M. Goldenberg, R. Orvieto. Ultrasonography-guided hysteroscopic tubal catheterization of proximally occluded tubes - reproductive outcomes[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 872-875.
[12] Y. Wang, F.Y. Luo, Y.D. Xia, L. Mei, L. Xie, H.X. Liu. Clinical analysis of 211 cases of cesarean scar pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 948-952.
[13] L. Giannella, K. Mfuta, L. B. Cerami, F. Boselli. Does uterine position affect pain intensity during outpatient diagnostic hysteroscopy?[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 787-791.
[14] D. Matsubara, H. Takahashi, K. Kataoka, T. Minami, R. Furukawa, S. Matsubara, T. Yamagata. Tracheal stenosis due to vascular rings: its possible prenatal diagnosis based on four cases of vascular rings with or without eventual tracheal stenosis[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 828-830.
[15] A. Pontis, L. Nappi, F. Sorrentino, S. Angioni. Differential diagnosis of adenomyosis: the role of hysteroscopy and laparoscopy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 511-515.
No Suggested Reading articles found!