A Rare Complication of Hysteroscopic Isthmocele Surgery: Uterine Subserosal Abscess Formation

ABSTRACT Diagnosing and treating isthmocele (niche) has become a popular topic in gynecology in recent years. While numerous articles evaluate isthmocele diagnosis and treatment, there is a lack of clear information on surgical complications. This study presents a case of a uterine abscess that developed after hysteroscopic surgical repair. While the literature reports abscess cases on peritoneal surfaces and uterine perforation cases occurring after isthmocele surgery, to the best of our knowledge, our case is the first instance of a uterine abscess causing chronic pelvic pain after isthmocele surgery. The purpose of this case report is to increase awareness among clinicians regarding isthmocele surgery, its growing prevalence, and the potential complications associated with it.