A rare cause of infertility: Uterine isthmocele

Abstract

A 35-year-old female patient with a history of cesarean section 2 times applied to our hospital with the complaints of post-menstrual bleeding for the last 1 year and infertility. In pelvic MRI, in cesarean section scar localization in the anterior uterine corpus, 15x10 mm in size, well-circumscribed hypointense cystic lesions were observed on T1-weighted images, and hyperintense cystic lesions were observed on T2-weighted images (Figure 1). A thinning was observed in the uterine parenchyma in the anterior neighborhood of this area. In patients who have the story of cesarean section in uterine cystic lesions, the uterine isthmocele should be considered in definitive diagnosis. A 35-year-old female patient with a history of cesarean section 2 times applied to our hospital with the complaints of post-menstrual bleeding for the last 1 year. In the transvaginal ultrasonography (TVUSG), anechoic cystic formation was observed in the anterior of the uterine corpus, and pelvic MRI examination was performed on the patient. At MRI, in cesarean section scar localization in the anterior uterine corpus, 15x10 mm in size, well-circumscribed hypointense cystic lesions were observed on T1-weighted images, and well-circumscribed