title: 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.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Tertiary university hospital.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
  
  
  METHODS
  Intraprocedural or postprocedural complications and fertility preservation.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors: Department of Obstetrics and Gynaecology, Centre Hospitalier Intercommunal de Créteil, University of Paris XII, Henri Mondor, Créteil, France. gkayem@gmail.com
authors: Gilles
authors: G
authors: Kayem
authors: Stéphanie
authors: S
authors: Deis
authors: Sonia
authors: S
authors: Estrade
authors: Bassam
authors: B
authors: Haddad
mesh_terms: D000328:Adult; D001034:Apgar Score; D002584:Cervix Uteri / Q000473:pathology; D005260:Female; D005298:Fertility; D006801:Humans; D007231:Infant, Newborn; D010920:Placenta / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology / Q000601:surgery*; D001743:Urinary Bladder / Q000473:pathology