LSCS scar defect (Isthmocele) → Fluid in uterine cavity → Infertility Pathophysiology explained step-by-step 1. What is an isthmocele? An isthmocele is a defect / pouch / niche at the site of a previous LSCS scar, usually located in the anterior lower uterine segment. • Occurs due to incomplete healing of the myometrium • Seen commonly after: • Multiple LSCS • Single-layer closure • Low cervical incision • Infection or poor vascularity 👉 On ultrasound it appears as a triangular or semicircular
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