%0 Journal Article
%T Cervico-Isthmic Pregnancy on Cesarean Scar Successful Treated with Methotrexate, Mifepristone and Misoprostol: A Case Report
%A K. E. Logbo-Akey
%A D. R. Ajavon
%A K. B. M¡¯bortche
%A P. Y. Kambote
%A A. S. Aboubakari
%A K. Akpadza
%J Open Journal of Obstetrics and Gynecology
%P 1229-1235
%@ 2160-8806
%D 2021
%I Scientific Research Publishing
%R 10.4236/ojog.2021.119116
%X <strong>Introduction:</strong><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> Cervico-isthmic pregnancy is rare, and serious because of its
hemorrhagic complication. Its management varies according to the teams. </span><b><span style=\"font-family:Verdana;\">Observation:</span></b><span style=\"font-family:Verdana;\"> We report a case of cervico-isthmic pregnancy on a cesarean scar. This is a
35-year</span></span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">-</span></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">old, G2P2, who consulted for bleeding from the 1st trimester of
pregnancy. </span><a name=\"_Hlk80358912\"></a><span style=\"font-family:Verdana;\">The clinical examination found a minimal
uterine bleeding. The diagnosis was made by a vaginal ultrasound which
found a cervico-isthmic implantation of the pregnancy on the caesarean scar. A
protocol of Mifepristone and Misoprostol followed by administration of a single
dose of 1 mg/kg of Methotrexate was performed. Cure was obtained 1 month after
treatment by negativation of plasma HCG. No bleeding complications were noted.
A follow-up ultrasound performed 2 months later showed a uterine vacuity and
the presence of an isthmocoele. It was in fact a pregnancy that had implanted
in the isthmocoele. </span><b><span style=\"font-family:Verdana;\">Conclusion:</span></b><span style=\"font-family:Verdana;\"> Cervico-isthmic pregnancy is rare. His
treatment is not codified. Drug management was successful</span></span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">.</span></span></span>
%K Cervico-Isthmic Pregnancy
%K Medical Treatment
%K Methotrexate
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=112167