<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282024000200150</article-id>
<article-id pub-id-type="doi">10.29315/gm.v11i2.751</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Uterine Niche: A Pathology to Consider]]></article-title>
<article-title xml:lang="pt"><![CDATA[Nicho Uterino: Uma Patologia a Considerar]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Francisca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Balseiro]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[Filipa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanches]]></surname>
<given-names><![CDATA[Joana Teles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,USF BRIOSA  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UCSP Montemor-o-Velho  ]]></institution>
<addr-line><![CDATA[Montemor-o-Velho ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UCSP Soure  ]]></institution>
<addr-line><![CDATA[Granja do Ulmeiro ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>11</volume>
<numero>2</numero>
<fpage>150</fpage>
<lpage>153</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282024000200150&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282024000200150&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282024000200150&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Uterine niche is a recess located in the anterior wall of the uterine isthmus, over the cesarean section scar. This condition is often asymptomatic, but it can be associated with symptoms such as abnormal uterine bleeding, pelvic pain and secondary infertility. Endovaginal ultrasound is the first-line diagnostic method. Treatment includes hormonal methods or surgery, and surgical treatment seems to be the most effective in resolving symptoms. We describe the case of a 37-year-old woman, with an obstetric history of a pregnancy with cesarean delivery, who complained of pelvic pain and menstrual irregularity. An endovaginal ultrasound was requested, which reported the presence of a &#8220;&#8230; echogenic oval formation with well-defined limits measuring 28x17 mm in the topography of the cesarean scar.&#8221; After a clinical discussion with a doctor specializing in Gynecology, the patient was referred to a hospital consultation in this specialty for investigation. The diagnosis of uterine niche was confirmed, and the treatment consisted of the placement of an intrauterine system.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Nicho uterino é um recesso localizado na parede anterior do istmo uterino, sobre a cicatriz de cesariana. Frequentemente esta condição é assintomática, mas pode estar associada a sintomas como hemorragia uterina anómala, dor pélvica e infertilidade secundária. A ecografia endovaginal é o método diagnóstico de primeira linha. O tratamento inclui métodos hormonais ou cirurgia, sendo que o tratamento cirúrgico parece ser o mais eficaz na resolução dos sintomas. Descrevemos o caso de uma mulher de 37 anos, com antecedentes obstétricos de uma gestação com parto por cesariana que apresentava queixas de dor pélvica e irregularidade menstrual. Foi solicitada ecografia endovaginal que relatou a presença de uma &#8220;&#8230;formação ovalada ecogénica de limites bem definidos com 28x17 mm na topografia da cicatriz de cesariana.&#8221; Após discussão clínica com médico especialista em Ginecologia, a doente foi encaminhada para consulta hospitalar desta especialidade para investigação, tendo sido confirmado o diagnóstico de nicho uterino e cujo tratamento consistiu na colocação de sistema intrauterino.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Cesarean Section/adverse effects]]></kwd>
<kwd lng="en"><![CDATA[Cicatrix]]></kwd>
<kwd lng="en"><![CDATA[Uterine Diseases]]></kwd>
<kwd lng="pt"><![CDATA[Cesariana/efeitos adversos]]></kwd>
<kwd lng="pt"><![CDATA[Cicatriz]]></kwd>
<kwd lng="pt"><![CDATA[Doenças Uterinas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</article>
