López Rivero LP, Jaimes M, Camargo F, López-Bayghen E. Successful treatment with hysteroscopy for infertility due to isthmocele and hydrometra secondary to cesarean section: A case report. World J Clin Cases 2019; 7(6): 753-758 [PMID: 30968040 DOI: 10.12998/wjcc.v7.i6.753]
Corresponding Author of This Article
Esther López-Bayghen PhD, Professor, Departamento de Toxicología, Centro de Investigación de Estudios Avanzados del IPN, Ave. IPN 2508, San Pedro Zacatenco, México City 07360, México. ebayghen@cinvestav.mx
Research Domain of This Article
Reproductive Biology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 26, 2019; 7(6): 753-758 Published online Mar 26, 2019. doi: 10.12998/wjcc.v7.i6.753
Successful treatment with hysteroscopy for infertility due to isthmocele and hydrometra secondary to cesarean section: A case report
Luis Pablo López Rivero, Miguel Jaimes, Felipe Camargo, Esther López-Bayghen
Luis Pablo López Rivero, Miguel Jaimes, Felipe Camargo, Instituto de Infertilidad y Genética México SC, Ingenes México City 05320, México
Esther López-Bayghen, Departamento de Toxicología, Centro de Investigación de Estudios, México City 07360, México
Author contributions: López-Bayghen E and López Rivero LP designed the report; López Rivero LP, Jaimes M and Camargo F collected the patient’s clinical data; López-Bayghen E and López Rivero LP analyzed the data and wrote the paper.
Supported byConacyt No. PEI-Conacyt 231793.
Informed consent statement: Consent was obtained from the patients for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare no conflict of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Esther López-Bayghen PhD, Professor, Departamento de Toxicología, Centro de Investigación de Estudios Avanzados del IPN, Ave. IPN 2508, San Pedro Zacatenco, México City 07360, México. ebayghen@cinvestav.mx
Telephone: +52-55-57473800 Fax: +52-55-57473395
Received: November 29, 2018 Peer-review started: November 29, 2018 First decision: January 8, 2019 Revised: February 4, 2019 Accepted: February 26, 2019 Article in press: February 26, 2019 Published online: March 26, 2019 Processing time: 117 Days and 10.4 Hours
Core Tip
Core tip: Scarring associated with cesarean sections has been implicated with infertility. A possible link between cesarean section and infertility is the development of triangle shape scar named isthmocele. Isthmoceles can cause a retrograde passage of mucosanguineous content to the uterine cavity, instigating inflammation. This could lead to the development of hydrometra. We present a case of a woman who had a previous cesarean section and a latter failure to get pregnant by natural means. During the in vitro fertilization (IVF) procedure in our clinic, hydrometra developed. Upon reviewing transvaginal ultrasound, an isthmocele was found. Hysteroscopy correction of the isthmocele abolished hydrometra, and the patient was able to get pregnant by IVF. Physicians and other personnel should keep in mind that isthmocele is a possible cause of secondary infertility, which could be linked to the formation persistent hydrometra.
