Non-viable cervico-isthmic pregnancy: the importance of an accurate sonographic diagnosis to preserve fertility
(2003) In Fetal Diagnosis and Therapy 18(5). p.289-291- Abstract
- BACKGROUND: Cervico-isthmic pregnancy is a rare occurrence and until the use of current ultrasonographic techniques was associated with a disastrous outcome for women desiring to maintain their fertility. CASE REPORT: A 39-year-old woman was diagnosed at 12 weeks of amenorrhoea with an intra-uterine non-viable pregnancy and a low implantation of the gestational sac. Medical management of this situation with a regimen of intravaginal misoprostol was unsuccessful. At introduction of a cervical expander severe vaginal bleeding ensued, leading to an emergency curettage followed by a life-saving hysterectomy. Pathologic examination confirmed the peroperative impression of an isthmic implantation of the gestational sac. CONCLUSION: Early... (More)
- BACKGROUND: Cervico-isthmic pregnancy is a rare occurrence and until the use of current ultrasonographic techniques was associated with a disastrous outcome for women desiring to maintain their fertility. CASE REPORT: A 39-year-old woman was diagnosed at 12 weeks of amenorrhoea with an intra-uterine non-viable pregnancy and a low implantation of the gestational sac. Medical management of this situation with a regimen of intravaginal misoprostol was unsuccessful. At introduction of a cervical expander severe vaginal bleeding ensued, leading to an emergency curettage followed by a life-saving hysterectomy. Pathologic examination confirmed the peroperative impression of an isthmic implantation of the gestational sac. CONCLUSION: Early ultrasonographic diagnosis is essential to make conservative management of cervico-isthmic pregnancy possible. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1128194
- author
- Loureiro, Teresa ; Cunha, Manuela ; Marques, Eduarda ; Araujo, Maria Libania ; Montenegro, Nuno ; Laurini, Ricardo LU ; Exposito, Maria Isabel and del Pilar Martinez, Maria
- organization
- publishing date
- 2003
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Fetal Diagnosis and Therapy
- volume
- 18
- issue
- 5
- pages
- 289 - 291
- publisher
- Karger
- external identifiers
-
- pmid:12913335
- scopus:0041660719
- ISSN
- 1015-3837
- DOI
- 10.1159/000071985
- language
- English
- LU publication?
- yes
- id
- d38463ce-389b-4036-a158-b933cd3d675d (old id 1128194)
- date added to LUP
- 2016-04-01 11:47:13
- date last changed
- 2022-01-26 18:13:28
@article{d38463ce-389b-4036-a158-b933cd3d675d, abstract = {{BACKGROUND: Cervico-isthmic pregnancy is a rare occurrence and until the use of current ultrasonographic techniques was associated with a disastrous outcome for women desiring to maintain their fertility. CASE REPORT: A 39-year-old woman was diagnosed at 12 weeks of amenorrhoea with an intra-uterine non-viable pregnancy and a low implantation of the gestational sac. Medical management of this situation with a regimen of intravaginal misoprostol was unsuccessful. At introduction of a cervical expander severe vaginal bleeding ensued, leading to an emergency curettage followed by a life-saving hysterectomy. Pathologic examination confirmed the peroperative impression of an isthmic implantation of the gestational sac. CONCLUSION: Early ultrasonographic diagnosis is essential to make conservative management of cervico-isthmic pregnancy possible.}}, author = {{Loureiro, Teresa and Cunha, Manuela and Marques, Eduarda and Araujo, Maria Libania and Montenegro, Nuno and Laurini, Ricardo and Exposito, Maria Isabel and del Pilar Martinez, Maria}}, issn = {{1015-3837}}, language = {{eng}}, number = {{5}}, pages = {{289--291}}, publisher = {{Karger}}, series = {{Fetal Diagnosis and Therapy}}, title = {{Non-viable cervico-isthmic pregnancy: the importance of an accurate sonographic diagnosis to preserve fertility}}, url = {{http://dx.doi.org/10.1159/000071985}}, doi = {{10.1159/000071985}}, volume = {{18}}, year = {{2003}}, }