Pouch of sorrow: Undiagnosed isthmocele – presenting as secondary infertility of 11 years in a middle age female

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dc.contributor.authorSayemaen_US
dc.contributor.authorIbbrahim, Aimanen_US
dc.contributor.authorKoppal, Divyashreeen_US
dc.contributor.authorWahab, Shaguftaen_US
dc.date.accessioned2023-08-09T06:16:09Z
dc.date.available2023-08-09T06:16:09Z
dc.date.issued2023-01
dc.description.abstractIn the past decade, the rate of cesarean sections has doubled leading to the more frequent occurrence of cesarean-related complications. Cesarean scar site diverticulum or isthmocele is one such complication that is defined as an outpouching of the anterior uterine wall at the cesarean scar site in continuity with the endometrial cavity, creating a wedge-shaped defect of variable depth. We report a case of a middle-aged female with secondary infertility for the last 11 years with one live issue 12 years back through a cesarean section at term. She had undergone an array of investigations for infertility for the past 5 years. She was diagnosed as having an isthmocele and managed with surgical repair of the defect at our hospital with subsequent assisted conception 8-month post-surgical repair. The importance of diagnosing a cesarean scar diverticulum cannot be understated not only because it is a surgically treatable cause of infertility but also because if such patients conceive, they may land in uterine rupture, placenta accreta, or scar ectopic pregnancy which can complicate into life-threatening situations.en_US
dc.identifier.affiliationsAssistant Professoren_US
dc.identifier.affiliations3rd Year Junior Residenten_US
dc.identifier.affiliationsProfessor, Department of Radiodiagnosis, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, Indiaen_US
dc.identifier.citationSayema, Ibbrahim Aiman, Koppal Divyashree, Wahab Shagufta. Pouch of sorrow: Undiagnosed isthmocele – presenting as secondary infertility of 11 years in a middle age female. Indian Journal of Case Reports. 2023 Jan; 9(1): 14-16en_US
dc.identifier.issn2454-1303
dc.identifier.issn2454-129X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/222322
dc.languageenen_US
dc.publisherMansa STM Publishersen_US
dc.relation.issuenumber1en_US
dc.relation.volume9en_US
dc.source.urihttps://doi.org/10.32677/ijcr.v9i1.3734en_US
dc.subjectCesarean scar diverticulumen_US
dc.subjectIsthmoceleen_US
dc.subjectPost-cesarean scar defecten_US
dc.subjectSecondary infertilityen_US
dc.titlePouch of sorrow: Undiagnosed isthmocele – presenting as secondary infertility of 11 years in a middle age femaleen_US
dc.typeJournal Articleen_US
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