{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T05:51:43Z","timestamp":1762408303509,"version":"3.40.4"},"reference-count":1,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2003,1,1]],"date-time":"2003-01-01T00:00:00Z","timestamp":1041379200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2003,1,1]],"date-time":"2003-01-01T00:00:00Z","timestamp":1041379200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fetal Diagn Ther"],"published-print":{"date-parts":[[2003]]},"abstract":"<jats:p>&lt;i&gt;Background:&lt;\/i&gt; Cervico-isthmic pregnancy is a rare occurrence and until the use of current ultrasonographic techniques was associated with a disastrous outcome for women desiring to maintain their fertility. &lt;i&gt;Case Report:&lt;\/i&gt; A 39-year-old woman was diagnosed at 12 weeks of amenorrhoea with an intra-uterine non-viable pregnancy and a low implantation of the gestational sac. Medical management of this situation with a regimen of intravaginal misoprostol was unsuccessful. At introduction of a cervical expander severe vaginal bleeding ensued, leading to an emergency curettage followed by a life-saving hysterectomy. Pathologic examination confirmed the peroperative impression of an isthmic implantation of the gestational sac. &lt;i&gt;Conclusion:&lt;\/i&gt; Early ultrasonographic diagnosis is essential to make conservative management of cervico-isthmic pregnancy possible.<\/jats:p>","DOI":"10.1159\/000071985","type":"journal-article","created":{"date-parts":[[2003,8,18]],"date-time":"2003-08-18T08:23:26Z","timestamp":1061195006000},"page":"289-291","source":"Crossref","is-referenced-by-count":3,"title":["Non-Viable Cervico-Isthmic Pregnancy: The Importance of an Accurate Sonographic Diagnosis to Preserve Fertility"],"prefix":"10.1159","volume":"18","author":[{"given":"Teresa","family":"Loureiro","sequence":"first","affiliation":[]},{"given":"Manuela","family":"Cunha","sequence":"additional","affiliation":[]},{"given":"Eduarda","family":"Marques","sequence":"additional","affiliation":[]},{"given":"Maria Lib\u00e2nia","family":"Ara\u00fajo","sequence":"additional","affiliation":[]},{"given":"Nuno","family":"Montenegro","sequence":"additional","affiliation":[]},{"given":"Ricardo","family":"Laurini","sequence":"additional","affiliation":[]},{"given":"Maria Isabel","family":"Exposito","sequence":"additional","affiliation":[]},{"given":"Maria","family":"del Pilar Martinez","sequence":"additional","affiliation":[]}],"member":"127","published-online":{"date-parts":[[2003,8,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080006586.x"}],"container-title":["Fetal Diagnosis and Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/71985","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/71985","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:34:54Z","timestamp":1745465694000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000071985"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003]]},"references-count":1,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2003,10,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000071985","archive":["Portico"],"relation":{},"ISSN":["1015-3837","1421-9964"],"issn-type":[{"type":"print","value":"1015-3837"},{"type":"electronic","value":"1421-9964"}],"subject":[],"published":{"date-parts":[[2003]]}}}