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Non-viable cervico-isthmic pregnancy: the importance of an accurate sonographic diagnosis to preserve fertility

Loureiro, Teresa; Cunha, Manuela; Marques, Eduarda; Araujo, Maria Libania; Montenegro, Nuno; Laurini, Ricardo LU ; Exposito, Maria Isabel and del Pilar Martinez, Maria (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)
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author
organization
publishing date
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
2008-06-02 15:48:45
date last changed
2018-01-07 05:22:34
@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},
  volume       = {18},
  year         = {2003},
}