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Published on: May 10, 2024
Conservative Management of a Scar Abscess formed in a Cesarean-induced Isthmocele
Meriem Boukrid1, Jean Dubuisson1
1Department of Gynecology-Obstetrics, University Hospital of Geneva , Geneva , Switzerland.
Background:
Abscesses located in the cesarean-section (CS) induced isthmoceles are rarely encountered and are usually treated surgically, mostly by hysterectomy.
Case Description:
We here report the case of a 40-year-old primiparous woman presenting a symptomatic abscess in the isthmocele 10 years after a CS. She was treated by antibiotics and was closely monitored by clinical evaluation, ultrasonography, and pelvic magnetic resonance imaging. This treatment led to complete resolution of symptoms and a disappearance of the abscess at imagery.
Conclusion:
Our report shows that a conservative medical management of isthmocele abscesses can be an effective approach in women wishing to preserve their uterus.
