Conceptual Paper
Volume 9 Issue 9 - 2020
Uterine Isthmocele: Diagnosis and Management
Erasmo Huertas1* and Milagros Manrique2
1Chief of Perinatology at San Felipe Clinic and Associate Professor of Obstetrics and Gynecology at San Marcos National University, Jesus Maria, Lima, Lima, Peru
2General Practitioner at Villa Alejandro Health Centre, Lima, Peru
*Corresponding Author: Erasmo Huertas, Chief of Perinatology at San Felipe Clinic and Associate Professor of Obstetrics and Gynecology at San Marcos National University, Jesus Maria, Lima, Lima, Peru.
Received:March 23, 2020; Published: August 31, 2020

Keywords: Isthmocele; Cesarean Scar Defect; Niche; Uterine Diverticulum; Ultrasound


It is an anechoic area, generally triangular in shape, with the vertex directed towards the bladder and of different sizes, located at the level of the anterior wall of the isthmus or the uterine cervix and just in the area of the scar from a previous caesarean section [1,2] (Figure 1). Some authors consider that the depth of the defect must be at least 1 mm and indentation of the myometrium of at least 2 mm [24], but there are no clear criteria for diagnosing it.


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Citation: Erasmo Huertas and Milagros Manrique. “Uterine Isthmocele: Diagnosis and Management”. EC Gynaecology 9.9 (2020): 69-75.

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