{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T12:05:54Z","timestamp":1763640354598,"version":"3.37.3"},"reference-count":11,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"06","license":[{"start":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T00:00:00Z","timestamp":1689897600000},"content-version":"vor","delay-in-days":50,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Isthmocele is a discontinuation of the myometrium at the uterine scar site in a patient with a previous cesarian section (CS). The cause of isthmocele appears to be multifactorial. Poor surgical technique, low incision location, uterine retroflection, obesity, smoking, inadequate healing of scars, and maternal age are possible related factors. Most patients with this condition are asymptomatic. However, women can present with postmenstrual bleeding, pelvic pain, subfertility, dysmenorrhea, infertility, and scar abscess. Brazil has one of the world's highest cesarean section rates. One of the consequences of the rising rate of CS is the isthmocele, an emerging female health problem. Here we report a case of mucinous cystadenoma arising in a uterine isthmocele, a complication, as far as we could investigate, not yet described in the literature.<\/jats:p>","DOI":"10.1055\/s-0043-1770090","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T18:59:23Z","timestamp":1690397963000},"page":"333-336","source":"Crossref","is-referenced-by-count":3,"title":["Mucinous Cystadenoma Arising in a Uterine Isthmocele: A Case Report"],"prefix":"10.61622","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4495-057X","authenticated-orcid":false,"given":"Jesus Paula","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4822-6231","authenticated-orcid":false,"given":"Alexandre Silva e","family":"Silva","sequence":"additional","affiliation":[{"name":"Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5542-1473","authenticated-orcid":false,"given":"Rodolpho Truffa","family":"Kleine","sequence":"additional","affiliation":[{"name":"Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4092-5011","authenticated-orcid":false,"given":"Mar\u00edlia Albanezi","family":"Bertolazzi","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5264-2166","authenticated-orcid":false,"given":"Rodrigo Pinto","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5838-3636","authenticated-orcid":false,"given":"Filomena Marino","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2023,7,21]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1055\/s-0038-1676109","article-title":"Isthmocele: From Risk Factors to Management","volume":"41","author":"P Iannone","year":"2019","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1002\/ijgo.14509","article-title":"Cesarean scar niche: An evolving concern in clinical practice","volume":"161","author":"F Armstrong","year":"2023","journal-title":"Int J Gynaecol Obstet"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1007\/s00404-022-06822-8","article-title":"Frequency and associated symptoms of isthmoceles in women 6 months after caesarean section: a prospective cohort study","volume":"307","author":"P Gozzi","year":"2023","journal-title":"Arch Gynecol Obstet"},{"issue":"02","key":"ref4","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1016\/j.tjog.2022.02.036","article-title":"High-grade endometrial stromal sarcoma in cesarean section scar isthmocele - 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