CERVICAL PREGNANCY: DIFFERENT CLINICAL SCENARIOS LEADING TO ITS DIAGNOSIS

Ana Galvão, Daniela Gonçalves, Marta Moreira, Joaquim Gonçalves, Jorge Braga

Abstract


We report all the cases of cervical pregnancy managed in our institution in the past ten years. One of them was treated with methotrexate. The other one was the result of in vitro fertilization, leading to an early embryo reduction. The last one was misdiagnosed as an uterine abortion and was submitted to dilatation and curettage with profuse bleeding, uterine perforation and need of laparotomy. As it continues to be a rare condition, the most important step in cervical pregnancy continues to be thinking about the possibility of its occurrence, because if it remains unrecognized it may have an end in an unfavorable outcome.


Keywords


Ectopic pregnancy, embryo implantation, methotrexate

Full Text:

PDF

References


Ruano R, Reya F, Picone O, Chopin N, Pereira PP, Benachi

A, et al. Three-dimensional ultrasonographic diagnosis of a

cervical pregnancy. Clinics 2006; 61:355-8.

Singh S. Diagnosis and management of cervical ectopic

pregnancy. J Hum Reprod Sci. 2013; 6: 273–6.

Ushakov FB, Echalal U, Aceman PJ, Schenker JG. Cervical

pregnancy: past and future. Obstet Gynecol Surv 1997;

:45-59.

Vela G, Tulandi T. Cervical pregnancy: the importance of

early diagnosis and treatment. J Minim Invasive Gynecol

; 14: 481-4.

Weibel HS, Alserri A, Reinhold C, Tulandi T. Multidose

methotrexate treatment of cervical pregnancy. J Obstet

Gynaecol Can. 2012; 34:359-62.

Surampudi K. A case of cervical ectopic pregnancy:

successful therapy with methotrexate. J Obstet Gynaecol

India. 2012; 62(Suppl 1):1-3.

Cepni I, Ocal P, Erkan S, Erzik B. Conservative treatment

of cervical ectopic pregnancy with transvaginal ultrasoundguided

aspiration and single-dose methotrexate. Fertil Steril.

; 81:1130-2.

Kung FT, Lin H, Hsu TY, Chang CY, Huang HW, Huang LY, et

al. Differential diagnosis of suspected cervical pregnancy and conservative treatment with the combination of laparoscopyassisted

uterine artery ligation and hysteroscopic

endocervical resection. Fertil Steril. 2004; 81:1642-9.

Maymon R, Halperin R, Mendlovic S, et al. Ectopic

pregnancies in a Caesarean scar: review of the medical

approach to an iatrogenic complication. Hum Reprod Update

; 10:515-23.

Kataoka ML, Togashi K, Kobayashi H, Inoue T, Fujii S, Konishi

J. Evaluation of ectopic pregnancy by magnetic resonance

imaging. Hum Reprod. 1999; 14:2644-50.

Yitzhak M, Orvieto R, Nitke S, Neuman-Levin M, Ben-Rafael

Z, Schoenfeld A. Cervical pregnancy – a conservative

stepwise approach. Hum Reprod. 1999; 14:847-9.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Journal indexed in