{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T22:42:01Z","timestamp":1773787321718,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":348,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Cesarean scar isthmocele (CSI) is a defect in the anterior myometrial wall of the uterine isthmus, at the site of a previous cesarean scar, and can be associated with menorrhagia in the form of prolonged menstrual bleeding or spotting, dysmenorrhea, and\/or secondary subfertility. We report a case of hysteroscopic morcellation of CSI with a subsequent successful pregnancy. A 37\u2010year\u2010old female with menorrhagia since cesarean delivery and secondary subfertility, with midcycle transvaginal sonogram (TVS) showing a CSI with associated endometrial cavity fluid (ECF) as well as a small endometrial polyp, underwent hysteroscopic revision of the CSI and polypectomy via a tissue removal system. Postoperatively, menorrhagia had resolved, and follow\u2010up midcycle TVS imaging showed no ECF. The patient spontaneously conceived 3 months after surgery and achieved a successful pregnancy. The use of a hysteroscopic tissue removal system is a feasible approach to the revision of CSI. Larger studies are necessary in order to determine efficacy for fertility patients.<\/jats:p>","DOI":"10.1155\/crog\/8858077","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:04:01Z","timestamp":1765807441000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of a Hysteroscopic Tissue Removal System for Revision of Cesarean Scar Isthmocele: A Case Report"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5711-0986","authenticated-orcid":false,"given":"Shahryar K.","family":"Kavoussi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy S.","family":"Esqueda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krista","family":"London","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah M.","family":"Compton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Jatinen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelsey","family":"Cathcart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.03.008"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.13199"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4226-6"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000380"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-199501000-00004"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/gme.0b013e3181fe6e41"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0b013e3283521202"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.31486\/toj.18.0048"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/1765624"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.11.038"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2007.10.004"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2018.05.032"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2017.09.002"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11216541"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2013-0081"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2021.06.034"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crog\/8858077","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crog\/8858077","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crog\/8858077","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T19:02:56Z","timestamp":1773774176000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crog\/8858077"}},"subtitle":[],"editor":[{"given":"Manvinder","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/crog\/8858077"],"URL":"https:\/\/doi.org\/10.1155\/crog\/8858077","archive":["Portico"],"relation":{},"ISSN":["2090-6684","2090-6692"],"issn-type":[{"value":"2090-6684","type":"print"},{"value":"2090-6692","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-08-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"8858077"}}