BACKGROUND Cesarean scar syndrome results from a postoperative defect of the uterine isthmus, also known as an isthmocele. Patients present with gynecological symptoms, such as abnormal genital bleeding or infertility, after cesarean delivery. Although the cesarean rate is increasing worldwide, this syndrome is not widely known. CASE PRESENTATION A 43-year-old G2P1 Japanese woman with atypica...

OBJECTIVES To describe changes in Cesarean section (CS) scars longitudinally throughout pregnancy, and to relate initial scar measurements, demographic variables and obstetric variables to subsequent changes in scar features and to final pregnancy outcome. METHODS In this prospective observational study we used transvaginal sonography (TVS) to examine the CS scar of 320 consecutive pregnant w...

I preface this piece with a disclosure that the statements make may come across as soapbox speech. My goal is to relate my experience of largely unreported therapeutic aspect Cesarean scar pregnancy (CSP) associated its termination and, such, much literature cite, have myself coauthored. It 20 years since Vial et al.1 described in Journal embedded previous delivery, an observation had been made...

[1] Sivin I, Stern J. Health during prolonged use of levonorgestrel 20 micrograms/d and the copper TCu 380Ag intrauterine contraceptive devices: a multicenter study. International Committee for Contraception Research (ICCR). Fertil Steril 1994;61(1): 70–7. [2] Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol 2006;107(6):1373–...