CERVICAL PREGNANCY: DIFFERENT CLINICAL SCENARIOS LEADING TO ITS DIAGNOSIS
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v26.i2.9401Keywords:
Ectopic pregnancy, embryo implantation, methotrexateAbstract
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.
Downloads
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.
Downloads
Published
How to Cite
Issue
Section
License
Copyright and Authors' Rights
All articles published in Nascer e Crescer - Birth and Growth Medical Journal are Open Access and comply with the requirements of funding agencies or academic institutions. For use by third parties, Nascer e Crescer - Birth and Growth Medical Journal adheres to the terms of the Creative Commons License "Attribution - Non-Commercial Use (CC-BY-NC)".
It is the author's responsibility to obtain permission to reproduce figures, tables, etc. from other publications.
Authors must submit a Conflict of Interest statement and an Authorship Form with the submission of the article. An e-mail will be sent to the corresponding author confirming receipt of the manuscript.
Authors are permitted to make their articles available in repositories at their home institutions, provided that they always indicate where the articles were published and adhere to the terms of the Creative Commons license.
