Conservative Management of a Second-Trimester Cervical Ectopic Pregnancy

被引：2

作者：

Handley, Katelyn F. ^{[1
]}

Bergeron, Lauren M. ^{[1
,2
]}

Biggio, Joseph R., Jr. ^{[1
,2
]}

机构：

[1] Ochsner Clin Fdn, Dept Obstet & Gynecol, New Orleans, LA USA

[2] Univ Queensland, Ochsner Clin Sch, Fac Med, New Orleans, LA USA

来源：

OCHSNER JOURNAL | 2020年 / 20卷 / 04期

关键词：

Amniocentesis; dilatation and curettage; fertility preservation; pregnancy-ectopic; ultrasonography; uterine artery embolization; METHOTREXATE TREATMENT; DIAGNOSIS;

D O I：

10.31486/toj.20.0034

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Cervical ectopic pregnancy is a rare condition, historically treated by hysterectomy. Case Report: A 33-year-old female at 13 weeks 3 days' gestation was diagnosed with a cervical ectopic pregnancy. She underwent a uterine artery embolization, fetal intrathoracic potassium chloride injection, amniocentesis, and ultrasound-guided suction dilation and curettage with the use of intracervical vasopressin, flowable gelatin with thrombin, and cervical cerclage. Conclusion:Advanced cervical ectopic pregnancy can be successfully managed in a conservative fashion in a patient who strongly desires future fertility.

引用

页码：459 / 462

页数：4

共 18 条

[1]

Creasy RK, 1994, MATERNAL FETAL MED P, P433

[2]

Cunningham C, 2018, JUNCTURES, P25

[3] CERVICAL PREGNANCY ASSOCIATED WITH UTERINE LEIOMYOMAS [J].

DEES, HC .

SOUTHERN MEDICAL JOURNAL, 1966, 59 (08) :900-&

[4] Cervical pregnancy: 13 cases treated with suction curettage and balloon tamponade [J].

Fylstra, Donald L. .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2014, 210 (06)

[5]

GINSBURG ES, 1994, FERTIL STERIL, V61, P966

[6] Prognostic factors for an unsatisfactory primary methotrexate treatment of cervical pregnancy: a quantitative review [J].

Hung, TH ;

Shau, WY ;

Hsieh, TT ;

Hsu, JJ ;

Soong, YK ;

Jeng, CJ .

HUMAN REPRODUCTION, 1998, 13 (09) :2636-2642

[7] Transvaginal ultrasound-guided treatment of cervical pregnancy [J].

Jeng, Cherng-Jye ;

Ko, Ma-Lee ;

Shen, Jenta .

OBSTETRICS AND GYNECOLOGY, 2007, 109 (05) :1076-1082

[8] Differential diagnosis of suspected cervical pregnancy and conservative treatment with the combination of laparoscopy-assisted uterine artery ligation and hysteroscopic endocervical resection [J].

Kung, FT ;

Lin, H ;

Hsu, TY ;

Chang, CY ;

Huang, HW ;

Huang, LY ;

Chou, YJ ;

Huang, KH .

FERTILITY AND STERILITY, 2004, 81 (06) :1642-1649

[9] Efficacy of methotrexate treatment in viable and nonviable cervical pregnancies [J].

Kung, FT ;

Chang, SY .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 181 (06) :1438-1444

[10]

MORTIMER C W, 1968, Journal of Obstetrics and Gynaecology of the British Commonwealth, V75, P741

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