---

Isthmocele of lateral wall of uterus encountered at Suction evacuation- A maternal near-miss

---

Case Report

Author Details : Paapa Dasari*, Nivedita Jha, Chitra Thiyagarajan

Volume : 7, Issue : 4, Year : 2020

Article Page : 604-607

https://doi.org/10.18231/j.ijogr.2020.128

Suggest article by email

Get Permission

---

Abstract

A 29-year-old young third gravida with history of previous 2 caesarean sections who was referred as partial mole at 9 weeks of pregnancy was evaluated and diagnosed to have missed abortion. Clinically her general condition was good, uterus was 14 weeks size and she underwent suction evacuation. Torrential haemorrhage occurred after removal of some products of conception and a bag like structure was felt in the lower pole of uterus on passage of curette. Onsite USG evaluation suspected scar pregnancy and she underwent immediate laparotomy and bilateral internal iliac artery ligation because of haemorrhagic shock.
At laparotomy left lateral wall mass of size 2x3 cm was found which was communicating to the uterus suggestive of Isthmocele. Excision and repair was carried out and she recovered well due to timely blood transfusion. This finding of isthmocele was missed on routine ultrasound evaluation prior to management plan mainly because of its location.

Keywords: Previous caesarean section, Isthamocele, Suction evacuation, Maternal near miss.

How to cite : Dasari P , Jha N , Thiyagarajan C , Isthmocele of lateral wall of uterus encountered at Suction evacuation- A maternal near-miss. Indian J Obstet Gynecol Res 2020;7(4):604-607

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.