Cervico-isthmic pregnancy: early diagnostic imaging and successful dual therapy for uterine-sparing treatment.
J Minim Invasive Gynecol
; 22(4): 678-83, 2015.
Article
em En
| MEDLINE
| ID: mdl-25623368
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 6 weeks gestation by multimodal imaging and successfully treated by hysteroscopic resection, securing adequate hemostasis, after transcatheter arterial chemoembolization.
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Base de dados:
MEDLINE
Assunto principal:
Gravidez Ectópica
/
Histeroscopia
/
Quimioembolização Terapêutica
/
Tratamentos com Preservação do Órgão
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article