title: Cervico-isthmic pregnancy: an extremely rare case diagnosed during labour.
abstract: This case report describes a cervico-isthmic pregnancy ending in a live vaginal birth at 37+2 weeks' gestation. The case remained undiagnosed throughout pregnancy when after a fairly normal labour a massive haemorrhage occurred. After an unsuccessful effort to control the bleeding conservatively, a total abdominal hysterectomy was carried out. During the operation the diagnosis of cervico-isthmic pregnancy was confirmed, which was in accordance with the pathology report.
authors.affiliation: First Department of Obstetrics and Gynaecology, Alexandra Hospital, University of Athens, 80 Vas. Sophias Ave., Athens 115 28, Greece.
authors.forename: S A
authors.initials: SA
authors.lastname: Mesogitis
authors.forename: G J
authors.initials: GJ
authors.lastname: Daskalakis
authors.forename: D G
authors.initials: DG
authors.lastname: Doublis
authors.forename: A J
authors.initials: AJ
authors.lastname: Antsaklis
authors.forename: N E
authors.initials: NE
authors.lastname: Papantoniou
authors.forename: S P
authors.initials: SP
authors.lastname: Michalas
mesh_terms: D002584:Cervix Uteri / Q000002:abnormalities / Q000473:pathology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008297:Male; D007744:Obstetric Labor Complications; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000473:pathology; D016896:Treatment Outcome; D014592:Uterine Hemorrhage / Q000601:surgery; D014599:Uterus / Q000002:abnormalities / Q000473:pathology