Angiographic uterine artery embolization followed by immediate curettage: An efficient treatment for controlling heavy bleeding and avoiding recurrent bleeding in cervical pregnancy
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作者:
Xu, Bing
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机构:Qingdao Univ, Affiliated Hosp Med Coll, Dept Obstet & Gynecol, Qingdao 266003, Peoples R China
Xu, Bing
Wang, Yan-Kui
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机构:Qingdao Univ, Affiliated Hosp Med Coll, Dept Obstet & Gynecol, Qingdao 266003, Peoples R China
Wang, Yan-Kui
Zhang, Yong-Hua
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机构:Qingdao Univ, Affiliated Hosp Med Coll, Dept Obstet & Gynecol, Qingdao 266003, Peoples R China
Zhang, Yong-Hua
Wang, Song
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机构:Qingdao Univ, Affiliated Hosp Med Coll, Dept Obstet & Gynecol, Qingdao 266003, Peoples R China
Wang, Song
Yang, Ling
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机构:Qingdao Univ, Affiliated Hosp Med Coll, Dept Obstet & Gynecol, Qingdao 266003, Peoples R China
Yang, Ling
Dai, Shu-Zhen
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机构:Qingdao Univ, Affiliated Hosp Med Coll, Dept Obstet & Gynecol, Qingdao 266003, Peoples R China
Dai, Shu-Zhen
机构:
[1] Qingdao Univ, Affiliated Hosp Med Coll, Dept Obstet & Gynecol, Qingdao 266003, Peoples R China
[2] Qingdao Univ, Affiliated Hosp Med Coll, Dept Radiol, Qingdao 266003, Peoples R China
Two cases of cervical pregnancy with heavy bleeding successfully treated by uterine artery embolization (UAE) followed by immediate curettage are described in this report. Case 1 demonstrated intermittent bleeding after serious bleeding was successfully controlled by UAE. Serum beta human chorionic gonadotropin (beta-hCG) level rose remarkably after a short time decline. Transvaginal sonography consistently revealed a heterogeneous mass in the cervix. Repeated UAE followed by immediate curettage was performed and complete resolution was achieved. Case 2 was also successfully managed by UAE followed by immediate curettage after failure of medical treatment. This report suggests that UAE followed by immediate curettage is a safe and efficient procedure for controlling heavy bleeding and avoiding recurrent bleeding when fertility capacity is desired in cases of cervical pregnancy with fetal cardiac activity and high beta-hCG concentration.
机构:
Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
Sherer, DM
Dalloul, M
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Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
Dalloul, M
Santoso, P
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Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
Santoso, P
Stimphil, R
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Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
Stimphil, R
Sokolovski, M
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机构:
Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
Sokolovski, M
Abulafia, O
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Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
机构:
Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
Sherer, DM
Dalloul, M
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Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
Dalloul, M
Santoso, P
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Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
Santoso, P
Stimphil, R
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机构:
Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
Stimphil, R
Sokolovski, M
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机构:
Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
Sokolovski, M
Abulafia, O
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机构:
Suny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USASuny Downstate Med Ctr, Div Maternal Fetal Med, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA