Gilles Kayem1, Stéphanie Deis, Sonia Estrade, Bassam Haddad. 1. Department of Obstetrics and Gynaecology, Centre Hospitalier Intercommunal de Créteil, University of Paris XII, Henri Mondor, Créteil, France. gkayem@gmail.com
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.
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.