AUTHOR=Boukrid Meriem , Dubuisson Jean 

TITLE=Conservative Management of a Scar Abscess formed in a Cesarean-induced Isthmocele

JOURNAL=Frontiers in Surgery

VOLUME=Volume 3 - 2016

YEAR=2016

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2016.00007

DOI=10.3389/fsurg.2016.00007

ISSN=2296-875X

ABSTRACT=Background: Abscesses located in the caesarean-section induced isthmoceles are rarely encountered and are usually treated surgically, mostly by hysterectomy. 

Case description: We here report the case of a 40-year-old primiparous woman presenting a symptomatic abscess in the isthmocele 10 years after a caesarean section. She was treated by antibiotics and was closely monitored by clinical evaluation, ultrasonography and pelvic magnetic resonance imaging. This treatment led to complete resolution of symptoms and a disappearance of the abscess at imagery. 

Conclusion: Our report shows that a conservative medical management of isthmocele abscesses can be an effective approach in women wishing to preserve their uterus.