Placental Insertion into the Cervix with Cervical Shortening as a Clinical Sign to Suspect Cervico-Isthmic Pregnancy: A Case Report and Literature Review
The clinical signs of cervico-isthmic pregnancy during pregnancy remain unknown. We herein report a case of cervico-isthmic pregnancy showing placental insertion into the cervix with cervical shortening, with a final diagnosis of placenta increta at the uterine body and cervix. A 33-year-old multipa...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2023/1816955 |
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| author | Chisa Ito Hirotada Suzuki Yusuke Amano Shigeyoshi Kijima Akihide Ohkuchi Hironori Takahashi Hiroyuki Fujiwara |
| author_facet | Chisa Ito Hirotada Suzuki Yusuke Amano Shigeyoshi Kijima Akihide Ohkuchi Hironori Takahashi Hiroyuki Fujiwara |
| author_sort | Chisa Ito |
| collection | DOAJ |
| description | The clinical signs of cervico-isthmic pregnancy during pregnancy remain unknown. We herein report a case of cervico-isthmic pregnancy showing placental insertion into the cervix with cervical shortening, with a final diagnosis of placenta increta at the uterine body and cervix. A 33-year-old multiparous woman with a history of cesarean section was referred to our hospital at 7 weeks of gestation with suspected cesarean scar pregnancy. Cervical shortening with a cervical length of 14 mm was noted at 13 weeks of gestation. The placenta is gradually inserted into the cervix. An ultrasonographic examination and magnetic resonance imaging strongly suggested placenta accreta. We planned elective cesarean hysterectomy at 34 weeks of gestation. The pathological diagnosis was cervico-isthmic pregnancy with placenta increta at the uterine body and cervix. In conclusion, placental insertion into the cervix with cervical shortening in the early pregnancy period may be a clinical sign to suspect cervico-isthmic pregnancy. |
| format | Article |
| id | doaj-art-21101ee7d26b41f89946cee44126d637 |
| institution | Kabale University |
| issn | 2090-6692 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-21101ee7d26b41f89946cee44126d6372025-02-03T06:04:52ZengWileyCase Reports in Obstetrics and Gynecology2090-66922023-01-01202310.1155/2023/1816955Placental Insertion into the Cervix with Cervical Shortening as a Clinical Sign to Suspect Cervico-Isthmic Pregnancy: A Case Report and Literature ReviewChisa Ito0Hirotada Suzuki1Yusuke Amano2Shigeyoshi Kijima3Akihide Ohkuchi4Hironori Takahashi5Hiroyuki Fujiwara6Department of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of PathologyDepartment of RadiologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyThe clinical signs of cervico-isthmic pregnancy during pregnancy remain unknown. We herein report a case of cervico-isthmic pregnancy showing placental insertion into the cervix with cervical shortening, with a final diagnosis of placenta increta at the uterine body and cervix. A 33-year-old multiparous woman with a history of cesarean section was referred to our hospital at 7 weeks of gestation with suspected cesarean scar pregnancy. Cervical shortening with a cervical length of 14 mm was noted at 13 weeks of gestation. The placenta is gradually inserted into the cervix. An ultrasonographic examination and magnetic resonance imaging strongly suggested placenta accreta. We planned elective cesarean hysterectomy at 34 weeks of gestation. The pathological diagnosis was cervico-isthmic pregnancy with placenta increta at the uterine body and cervix. In conclusion, placental insertion into the cervix with cervical shortening in the early pregnancy period may be a clinical sign to suspect cervico-isthmic pregnancy.http://dx.doi.org/10.1155/2023/1816955 |
| spellingShingle | Chisa Ito Hirotada Suzuki Yusuke Amano Shigeyoshi Kijima Akihide Ohkuchi Hironori Takahashi Hiroyuki Fujiwara Placental Insertion into the Cervix with Cervical Shortening as a Clinical Sign to Suspect Cervico-Isthmic Pregnancy: A Case Report and Literature Review Case Reports in Obstetrics and Gynecology |
| title | Placental Insertion into the Cervix with Cervical Shortening as a Clinical Sign to Suspect Cervico-Isthmic Pregnancy: A Case Report and Literature Review |
| title_full | Placental Insertion into the Cervix with Cervical Shortening as a Clinical Sign to Suspect Cervico-Isthmic Pregnancy: A Case Report and Literature Review |
| title_fullStr | Placental Insertion into the Cervix with Cervical Shortening as a Clinical Sign to Suspect Cervico-Isthmic Pregnancy: A Case Report and Literature Review |
| title_full_unstemmed | Placental Insertion into the Cervix with Cervical Shortening as a Clinical Sign to Suspect Cervico-Isthmic Pregnancy: A Case Report and Literature Review |
| title_short | Placental Insertion into the Cervix with Cervical Shortening as a Clinical Sign to Suspect Cervico-Isthmic Pregnancy: A Case Report and Literature Review |
| title_sort | placental insertion into the cervix with cervical shortening as a clinical sign to suspect cervico isthmic pregnancy a case report and literature review |
| url | http://dx.doi.org/10.1155/2023/1816955 |
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