| Non-viable cervico-isthmic pregnancy: the importance of an accurate sonographic diagnosis to preserve fertility. | |
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MedLine Citation:
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PMID: 12913335 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Teresa Loureiro; Manuela Cunha; Eduarda Marques; Maria Libânia Araújo; Nuno Montenegro; Ricardo Laurini; Maria Isabel Exposito; Maria del Pilar Martinez |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Fetal diagnosis and therapy Volume: 18 ISSN: 1015-3837 ISO Abbreviation: Fetal. Diagn. Ther. Publication Date: 2003 Sep-Oct |
Date Detail:
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Created Date: 2003-08-12 Completed Date: 2003-12-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9107463 Medline TA: Fetal Diagn Ther Country: Switzerland |
Other Details:
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Languages: eng Pagination: 289-91 Citation Subset: IM |
Copyright Information:
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Copyright 2003 S. Karger AG, Basel |
Affiliation:
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Department of Obstetrics and Gynecology, S. João Hospital, Porto, Portugal. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Diagnostic Errors Female Fertility* Hemorrhage / etiology Humans Hysterectomy* Pregnancy Pregnancy, Ectopic / complications, surgery*, ultrasonography* |
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