A Rare Complication of Hysteroscopic Isthmocele Surgery: Uterine Subserosal Abscess Formation

Abstract

ABSTRACT Diagnosing and treating isthmocele (niche) has become a popular topic in gynecology in recent years. While numerous articles evaluate isthmocele diagnosis and treatment, there is a lack of clear information on surgical complications. This study presents a case of a uterine abscess that developed after hysteroscopic surgical repair. While the literature reports abscess cases on peritoneal surfaces and uterine perforation cases occurring after isthmocele surgery, to the best of our knowledge, our case is the first instance of a uterine abscess causing chronic pelvic pain after isthmocele surgery. The purpose of this case report is to increase awareness among clinicians regarding isthmocele surgery, its growing prevalence, and the potential complications associated with it.

Keywords

• Isthmocele (niche)
• Hysteroscopic repair surgery
• Laparoscopy
• Uterine abscess
• Pelvic pain

Histeroskopik İstmosel Cerrahisinin Nadir Bir Komplikasyonu: Uterin Subserozal Apse Oluşumu

Öz

ÖZ İstmosel (niş) tanı ve tedavisi son yıllarda jinekolojide popüler bir konu haline gelmiştir. İstmosel tanı ve tedavisini değerlendiren çok sayıda makale olmasına rağmen cerrahi komplikasyonlar konusunda net bilgiler bulunmamaktadır. Bu çalışmada histeroskopik cerrahi onarım sonrası gelişen uterin apse olgusu sunulmaktadır. Literatürde istmosel cerrahisi sonrası peritoneal yüzeylerde apse olguları ve uterin perforasyon olguları bildirilirken, bizim olgumuz bildiğimiz kadarıyla istmosel cerrahisi sonrası kronik pelvik ağrıya neden olan uterus apsesinin ilk örneğidir. Bu olgu sunumunun amacı, klinisyenler arasında istmosel cerrahisi, artan prevalansı ve buna bağlı olası komplikasyonlar konusunda farkındalığı artırmaktır.

Anahtar Kelimeler

• İstmosel (niş)
• Histeroskopik onarım cerrahisi
• Laparoskopi
• Uterin apse
• Pelvik ağrı

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