Rezumat: Introduction. Isthmocele is a defect similar to a diverticulum
located on the anterior uterine isthmus at the
corresponding
level after caesarean scar that involves
discontinuity myometrial. There is no unity in definitions,
the literature can refer to this entity as a deficiency, uterine
scar dehiscence of, niche or uterine diverticulum. The
reported incidence in the literature varies from 4.9% to
19% in recent studies. Its presence was associated with a
syndrome characterized by uterine bleeding, dyspareunia,
dysmenorrhea and fertility disorders. The objective of our
study was to identify the correlations between isthmocele
and the presence of symptoms such as uterine bleeding
in women who requested consultations in Medlife
Clinic between 2014-2015. Material and method.
We retrospectively evaluated a total of 146 patients
who presented to the Medlife Unirii Clinic with vaginal
haemorrhagia (11% of requests for consultations). We
performed clinical transvaginal ultrasound examination
to all patients. We considered the diagnosis of ishtmocele
if ultrasound revealed a deficiency in the caesarian with
thickness of myometrium less than 2.5 mm. Results
and discussion. 18 patients were found to meet the
requirements of diagnosis. 4 of them had a history of two
caesarean sections, 6 patients had retroverted uterus ,10
patients had elective interventions and 3 patients reported
secondary infertility. Conclusion. Isthmocelul folowing
caesarean section is responsible for uterine bleeding,
infertility and medically induced dysmenorrhea but
unfortunately still insufficiently recognized and treated. Cuvinte cheie: uterine bleeding, caesarean section, infertility, dysmenorrhea.