Wehbé A, Ioan A, Allart J P, Fontanié P, Assemekang B, Azoulay M, Delezoide A L
Service de Gynécologie-Obstétrique, hôpital des Diaconesses, Paris.
Rev Fr Gynecol Obstet. 1993 Jul-Sep;88(7-9):439-44.
This is the case of a para three, gravida three, who had a caesarean section for her first pregnancy and a normal delivery for the second one. During her third pregnancy the patient is hospitalised for first trimester bleeding. Ultrasounds show two liquid compartments separated by placenta. The lower one in cervico-isthmic position contains the foetus. During the 24th week gestation the pregnancy is complicated by severe metrorrhagia that leads to abdominal exploration and total hysterectomy. The pathology conclusions confirmed the per-operative impression of cervico-isthmic pregnancy. The authors emphasise the rarity of the cervico-isthmic pregnancy (1 for 10,000 pregnancies) and wonder about atypical evolution of this case and about the possibilities of saving the uterus by an earlier intervention in view of ultrasonographic data.
这是一位经产妇，孕3产3，第一次怀孕行剖宫产，第二次顺产。第三次怀孕时，患者因孕早期出血入院。超声显示两个液性腔隙被胎盘分隔。位于宫颈峡部位置较低的腔隙内有胎儿。妊娠24周时，妊娠并发严重子宫出血，导致开腹探查及全子宫切除术。病理结果证实了术中宫颈峡部妊娠的诊断。作者强调宫颈峡部妊娠罕见（1/10000妊娠），并对该病例的非典型病程以及鉴于超声数据通过早期干预保留子宫的可能性表示疑惑。
