Conservative treatment of cervical pregnancy in women: a review of the literature with case report

Andrzej Wróbel; Katarzyna Romanek; Postawski Krzysztof; Tomasz Rechberger

Vol 80, No 9 (2009)

ARTICLES

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Conservative treatment of cervical pregnancy in women: a review of the literature with case report

Andrzej Wróbel, Katarzyna Romanek, Postawski Krzysztof, Tomasz Rechberger

Ginekol Pol 2009;80(9).

Vol 80, No 9 (2009)

ARTICLES

Abstract

Abstract Diagnosis of cervical pregnancy depends on ultrasonographic image of the gestational sac within the cervix, rather than histopathologic examination. Diagnosis of a cervical pregnancy may be confirmed if the placenta and the entire chorionic sac containing a live fetus are located below the internal os. Majority of patients with cervical pregnancies are young women who wish to stay fertile and have the possibility to bear children. Ultrasonography offers the advantage of early clinical diagnosis and easy fallow-up. Methotrexate (MTX) has become the treatment of choice in cervical pregnancy management, especially for the hemodynamically stable patients. In the following article we have reported a the successful management of a 7 weeks gestation cervical pregnancy treated with the combination of MTX, prostaglandin and suction curettage. Due to conservative treatment emergency hysterectomy was avoided.