Conservative management of a near-term cervico-isthmic pregnancy, followed by a successful subsequent pregnancy: a case report.
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.
Kayem
Gilles
G
Department of Obstetrics and Gynaecology, Centre Hospitalier Intercommunal de Créteil, University of Paris XII, Henri Mondor, Créteil, France. gkayem@gmail.com
Deis
Stéphanie
S
Estrade
Sonia
S
Haddad
Bassam
B
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