Successful conservative management of cervical ectopic pregnancy: a case series

Objective To report our experience of conservative treatment in four patients with cervical ectopic pregnancy. Design Case series. Setting Academic medical center. Patients Four women diagnosed with cervical ectopic pregnancy managed conservatively. Intervention(s) Systemic methotrexate alone or com...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2011-06, Vol.283 (6), p.1215-1217
Main Authors: Taylor, Joelle E., Yalcinkaya, Tamer M., Akar, Munire Erman
Format: Article
Language:English
Subjects:
Abortifacient Agents, Nonsteroidal - therapeutic use
Adult
Cervix Uteri - blood supply
Combined Modality Therapy
Dilatation and Curettage
Endocrinology
Female
Gynecology
Human Genetics
Humans
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Injections, Intramuscular
Materno-fetal Medicine
Medicine
Medicine & Public Health
Methotrexate - therapeutic use
Obstetrics/Perinatology/Midwifery
Pregnancy
Pregnancy complications
Pregnancy, Ectopic - diagnostic imaging
Pregnancy, Ectopic - therapy
Ultrasonography, Prenatal
Uterine Artery Embolization
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Summary:Objective To report our experience of conservative treatment in four patients with cervical ectopic pregnancy. Design Case series. Setting Academic medical center. Patients Four women diagnosed with cervical ectopic pregnancy managed conservatively. Intervention(s) Systemic methotrexate alone or combined with subsequent uterine artery embolization (UAE). Main outcome measures Conservative management with decreased rate of serious complications. Results No hysterectomies were needed. One patient required subsequent intervention, UAE. Conclusion Conservative treatment of cervical pregnancy might be successful with careful follow up and subsequent conservative interventions.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-010-1529-7