Hysteroscopic surgery for treating intramural fibroids at the cesarean scar area: a case report and literature review.

ABSTRACT:

Background

Uterine fibroids located at cesarean section scar sites are rare and differ clinically from conventional fibroids, frequently causing abnormal uterine bleeding and infertility. Traditional surgical approaches (laparotomy, laparoscopy, or vaginal surgery) necessitate incision of the scar site, resulting in significant tissue damage. We present a successful case of hysteroscopic resection for such fibroids, demonstrating the minimally invasive advantages of this approach.

Case summary

A 49-year-old multiparous woman with a history of cesarean delivery presented with a 2-year history of menorrhagia and prolonged menstrual cycles, exacerbated over the preceding month. Gynecological ultrasound revealed heterogeneous hypoechogenicity within the cervical canal, measuring

SUBMITTER: Wu J 

PROVIDER: S-EPMC12454310 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature