一种罕见的不孕原因:子宫峡部膨出

M. Koplay, N. Seher, E. Uysal, H. Cebeci
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摘要

患者女,35岁,剖宫产2次,主诉1年经后出血,不孕症来我院就诊。盆腔MRI剖宫产术中瘢痕定位于子宫前体,大小为15x10mm, t1加权像上可见边界清晰的低信号囊性病变,t2加权像上可见高信号囊性病变(图1)。该区域前邻区子宫实质变薄。有剖宫产史的子宫囊性病变患者,应考虑子宫峡部膨出作为明确诊断。患者女,35岁,有剖宫产史2次,主诉经后出血1年来我院就诊。经阴道超声(TVUSG)示子宫体前部无回声囊性形成,行盆腔MRI检查。MRI剖宫产术中瘢痕定位于子宫前体,大小15x10mm, t1加权像上可见边界清晰的低信号囊性病变,且边界清晰
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A rare cause of infertility: Uterine isthmocele
A 35-year-old female patient with a history of cesarean section 2 times applied to our hospital with the complaints of post-menstrual bleeding for the last 1 year and infertility. In pelvic MRI, in cesarean section scar localization in the anterior uterine corpus, 15x10 mm in size, well-circumscribed hypointense cystic lesions were observed on T1-weighted images, and hyperintense cystic lesions were observed on T2-weighted images (Figure 1). A thinning was observed in the uterine parenchyma in the anterior neighborhood of this area. In patients who have the story of cesarean section in uterine cystic lesions, the uterine isthmocele should be considered in definitive diagnosis. A 35-year-old female patient with a history of cesarean section 2 times applied to our hospital with the complaints of post-menstrual bleeding for the last 1 year. In the transvaginal ultrasonography (TVUSG), anechoic cystic formation was observed in the anterior of the uterine corpus, and pelvic MRI examination was performed on the patient. At MRI, in cesarean section scar localization in the anterior uterine corpus, 15x10 mm in size, well-circumscribed hypointense cystic lesions were observed on T1-weighted images, and well-circumscribed
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