case_images: PMC9842908_01
case_images: Trans vaginal ultrasonography shows an anechoic defect (red asterisk) in cesarean incision site.
case_images: CCR3-11-e6875-g003.jpg
case_images: PMC9842908_01_CCR3-11-e6875-g003.jpg
case_images: ccr36875-fig-0001
case_images: Transvaginal ultrasound showed a defect at the region of cesarean incision site being replaced by cystic lesion in anterior and right side with no vascularity noted within, with differential diagnosis of an isthmocele as shown in Figure 1.
case_images: Axial image of magnetic resonance imaging (MRI) of abdomen/pelvis shows loss of myometrial continuity (red arrow) with blood clot (purple asterisk) and intact serosa (green arrow). Bowels (red asterisk) and bladder (green asterisk) are also seen.
case_images: CCR3-11-e6875-g005.jpg
case_images: PMC9842908_01_CCR3-11-e6875-g005.jpg
case_images: ccr36875-fig-0002
case_images: Magnetic resonance imaging (MRI) revealed 3.2 x 2.4 x 2.9 cm non-enhancing lesion in anterior myometrium with extension to the endometrial cavity through a focal defect in the lower uterine segment with the intact serosa, features likely of contained rupture at previous cesarean scar site as shown in Figure 2.
case_images: Per operative image showing bulge at the previous scar site (black asterisk).
case_images: CCR3-11-e6875-g008.jpg
case_images: PMC9842908_01_CCR3-11-e6875-g008.jpg
case_images: ccr36875-fig-0003
case_images: She underwent laparotomy which revealed 2 x 2 cm bluish bulge at the previous scar site as shown in Figure 3.
case_images: Per operative image showing brownish material exposed after incising the bulge present at the previous scar site (black asterisk).
case_images: CCR3-11-e6875-g001.jpg
case_images: PMC9842908_01_CCR3-11-e6875-g001.jpg
case_images: ccr36875-fig-0004
case_images: Upon incising the bulge, brownish product of conception like material was revealed as depicted in Figures 4 and 5.
case_images: Gross specimen of removed scar tissue.
case_images: CCR3-11-e6875-g002.jpg
case_images: PMC9842908_01_CCR3-11-e6875-g002.jpg
case_images: ccr36875-fig-0005
case_images: Upon incising the bulge, brownish product of conception like material was revealed as depicted in Figures 4 and 5.
case_images: Gross specimen of product of conception like mass removed after incising the bulge present at previous scar site.
case_images: CCR3-11-e6875-g006.jpg
case_images: PMC9842908_01_CCR3-11-e6875-g006.jpg
case_images: ccr36875-fig-0006
case_images: The scar tissue was removed as shown in Figure 6 and the margins were freshened.
case_images: Per operative image showing uterus after the repair of isthmocele.
case_images: CCR3-11-e6875-g007.jpg
case_images: PMC9842908_01_CCR3-11-e6875-g007.jpg
case_images: ccr36875-fig-0007
case_images: The uterine cavity was difficult to visualize so, uterine sound was inserted and the uterine incision was closed in two layers as shown in Figure 7.