истмоцеле, кесарево сечение, несостоятельность рубца, Pediatrics, RJ1-570, Gynecology and obstetrics, RG1-991

Cesarean section is one of the most common obstetric operations. Over the past few decades, the caesarean section rate in Russia has more than doubled and is about 24 %. In this regard, the issue of the viability of the scar on the uterus after cesarean section, the effect of the scar condition on the course of subsequent pregnancies and childbirth is particularly relevant. The presented article describes a rare clinical case of large-sized isthmocele in a patient after three cesarean sections, taking into account the pronounced anatomical and morphological changes, organ-preserving surgery (metroplasty) in the patient was impossible due to and associated with an unfavorable prognosis of pregnancy in the future in terms of complete insolvency of the postoperative scar.