Published: 2021-05-27

Minimally invasive procedure for repair of uterine isthmocele, a rare cause of infertility: a case report

Anusha Ginjupalli, Joshi Suyajna D., Nagarathna Suyajna Joshi, Jayaprakash Patil


One of the known complications after caesarean delivery is uterine caesarean scar defect or isthmocele. Isthmocele is usually asymptomatic or may cause gynecological problems, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain. Isthmocele may cause obstetrical sequalae like preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placental implantation. In the present case report, asymptomatic patient underwent laparoscopic surgery for isthmocele repair after shared decision-making and medical treatment have been evaluated. We suggested that isthmoplasty should be offered to women with symptoms or if it is causing infertility.


Isthmocele, Caesarean scar defect, Laparoscopy, Isthmoplasty, Hysteroscopy

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