Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3955942 | Journal of Minimally Invasive Gynecology | 2015 | 6 Pages |
Abstract
Cervico-isthmic pregnancy is a rare and potentially life-threatening form of ectopic gestation in which the blastocyst implants in the uterine cervico-isthmus between the histological and anatomical internal os, followed by subsequent extension to the lower uterine segment. Early diagnosis may allow a conservative therapeutic approach that avoids catastrophic hemorrhage requiring hysterectomy. Here we report the case of a 43-year-old primigravida woman whose cervico-isthmic pregnancy complicated by massive hematometra was diagnosed at 6Â weeks gestation by multimodal imaging and successfully treated by hysteroscopic resection, securing adequate hemostasis, after transcatheter arterial chemoembolization.
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Authors
Akihiro MD, Wataru MD, Shotaro MD, Sanae MD, Hiromi MD,