Evidence map›Paper›PMID 39988686›Full record

ArticleThe journal of obstetrics and gynaecology research2025

Hematometra within a cesarean scar defect in a perimenopausal woman: A case report.

Atsushi Murakami, Shunichiro Tsuji, Yu Koikawa, Mari Nakata, Suzuko Moritani, Takashi Murakami

Abstract readCase Reports
In one paragraph

Article in The journal of obstetrics and gynaecology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Hematometra within a cesarean scar defect in a perimenopausal woman: A case report.The journal of obstetrics and gynaecology research · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Atsushi MurakamiDepartment of Obstetrics and Gynecology, Shiga University of Medical Science, Otsu, Shiga, Japan.ORCID https://orcid.org/0000-0002-1972-0134
Shunichiro TsujiDepartment of Obstetrics and Gynecology, Shiga University of Medical Science, Otsu, Shiga, Japan.ORCID https://orcid.org/0000-0003-3945-6817
Yu KoikawaDepartment of Obstetrics and Gynecology, National Hospital Organization Higashiomi General Medical Center, Higashi-ohmi, Shiga, Japan.
Mari NakataDepartment of Obstetrics and Gynecology, National Hospital Organization Higashiomi General Medical Center, Higashi-ohmi, Shiga, Japan.
Suzuko MoritaniDepartment of Clinical Laboratory Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Takashi MurakamiDepartment of Obstetrics and Gynecology, Shiga University of Medical Science, Otsu, Shiga, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cesarean scar defect (CSD) is a long-term complication of cesarean section (CS). However, its risks for perimenopausal women remain unclear. We present a rare case of CSD involving hematometra in a perimenopausal woman, which led to emergency hysterectomy. A 51-year-old woman with a history of CS presented with acute abdominal pain. Transvaginal ultrasonography and magnetic resonance imaging identified a hematometra within a large CSD extending into the cervical myometrium. Emergent hysterectomy was performed due to persistent pain. Histopathology revealed a fresh hematoma within the CSD, with ectopic endometrial glands and hemorrhage on its walls. This case highlights the pathogenesis of hematometra within a CSD and underscores its potential to cause acute abdomen in perimenopausal women.

Indexed as

Cesarean SectionCicatrixHematometraFemaleHumansHysterectomyMiddle AgedPerimenopauseacute abdominal paincesarean scar defectendometriosishematometraperimenopause

Identifiers

PMID39988686
PMCPMC11847759

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.