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Conservative management of a near-term cervico-isthmic pregnancy, followed by a successful subsequent pregnancy: a case report.

Abstract：

OBJECTIVE:To describe a rare case of a cervico-isthmic pregnancy with anterior placenta percreta that was treated at 34 weeks of gestation by removing the placenta and the attached uterine wall in one piece. DESIGN:Case report. SETTING:Tertiary university hospital. PATIENT(S):A 32-year-old woman was diagnosed with a cervico-isthmic pregnancy and an anterior placenta percreta at 34 weeks' gestation at delivery by a cesarean section. INTERVENTION(S):Delivery of the neonate was performed by a uterine incision beyond the limits of the placenta. Thereafter, the placenta and the attached uterine wall were removed step by step by ligature section. MAIN OUTCOME MEASURE(S):Intraprocedural or postprocedural complications and fertility preservation. RESULT(S):The delivery was successfully performed without intraprocedural or postprocedural complications and with preservation of the patient's fertility. A successful pregnancy was conducted 1 year later. CONCLUSION(S):In case of cervico-isthmic pregnancy with anterior placenta percreta, resection in one block of the placenta and the attached uterine wall may be an option for preserving fertility.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Kayem G,Deis S,Estrade S,Haddad B

doi

10.1016/j.fertnstert.2007.06.007

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1826.e13-5

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(07)01254-X

journal_volume

89

pub_type

杂志文章

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