ISTHMOCELE UTERIN : A PROPOS DE QUATRE CAS

Introduction: Isthmocele is a dehiscence at the uterine caesarean scar sitting anterior wall opposite isthmus. The objective of study to define isthmoceles and its diagnostic therapeutic modalities. Material And Methods: Through retrospective on series of4 patients who presented post isthmocel taken in charge gynecology department CHU MOHAMED VI Oujda during period from December 1, 2016 31, 2020. Results: have an average age 40 years, multiparous least cesareanized once.The most frequent reason for consultation was metrorrhagia. In our patients, physical examination unremarkable. Pelvic ultrasound hysterosonography allowed diagnosis isthmocele, 2 were treated by laparoscopic surgery, two surgical hysteroscopy. evolution favorable with disappearance symptoms improvement fertility, indeed we note occurrence spontaneous miscarriage then evolutive pregnancy patient Conclusion: Although clinical picture not very specific, isthmocele new entity that should be thought front scarred uterus. There no consensus yet, but treatment based detection isthmic defect correction. Hysteroscopy can also proposed as modality.