ISTMOCELE: IS THERE A CONNECTION WITH ENDOMETRIOS AND ADENOMYOS?

I. Z. Hladchuk, N. М. Rozhkovska, V. O. Sytnikova, S. M. Syvyi, Z.I. Hladchuk
In: The Odessa Medical Journal · 2023 · pp. 74–78 · doi:10.32782/2226-2008-2023-2-13 · W4386870785
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This study analyzed 40 cases of uterine scars after C-sections and found that one in three patients with isthmocele also had endometriosis of the scar, often combined with deeper endometriosis.

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Abstract

Despite numerous studies, it is important to determine the risk factors of isthmocele, its connection with endometriosis and adenomyosis in order to improve reproductive function and reduce the number of complications in such patients. The aim of the study is to identify the relationship between isthmocele and adenomyosis and external genital endometriosis. Materials and methods. 40 cases of uterine scar after caesarean section were analyzed. The patients were clinically and morphologically examined. It was found that one in ten patients had endometriosis in the uterine scar, which was defined as the presence of endometrial glands or stromal cells, while one in three patients with isthmocele had it. Research results and their discussion. Isthmocele after caesarean section is a frequent pathology, the pathogenesis of which has not been finally clarified. Conclusions. It was found that every third patient with isthmocele was diagnosed with endometriosis of the scar after cesarean section, including 2/3 of them - a combination with deep endometriosis of the peritoneum and ovaries, there was also a combination with external endometriosis of the skin scar.
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ІСТМОЦЕЛЕ: ЧИ Є ЗВ’ЯЗОК З ЕНДОМЕТРІОЗОМ ТА АДЕНОМІОЗОМ? DOI: https://doi.org/10.32782/2226-2008-2023-2-13Ключові слова: істмоцеле, аденоміоз, ендометріозАнотація Вивчено взаємозв’язок істмоцеле з аденоміозом і зовнішнім генітальним ендометріозом. Досліджено 40 піціенток з рубцем на матці після кесарського розтину Дійшли висновку, що істмоцеле після кесаревого розтину є частою патологією, патогенез якої остаточно не з’ясований, а також що у кожної третьої пацієнтки з істмоцеле діагностований ендометріоз рубця після кесаревого розтину, в тому числі у 2/3 з них – сполучення з глибоким ендометріозом очеревини та яєчників, мало місце і сполучення з зовнішнім ендометріозом шкірного рубця. Подальші дослідження необхідні для визначення факторів ризику розвитку істмоцеле та його зв’язку з різними формами ендометріоза. 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