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

Teresa Loureiro, Manuela Cunha, Eduarda Marques, Maria Libania Araujo, Nuno Montenegro, Ricardo Laurini, Maria Isabel Exposito, Maria del Pilar Martinez

Research output: Contribution to journalArticlepeer-review

4 Citations (SciVal)

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.
Original languageEnglish
Pages (from-to)289-291
JournalFetal Diagnosis and Therapy
Volume18
Issue number5
DOIs
Publication statusPublished - 2003

Subject classification (UKÄ)

  • Obstetrics, Gynecology and Reproductive Medicine

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