Treatment of early cervical pregnancy with cerclage, carboprost, curettage, and balloon tamponade.
Publication/Presentation Date
2-1-2007
Abstract
BACKGROUND: Cervical pregnancy, an uncommon variety of ectopic gestation is associated with high morbidity and adverse consequences for future fertility. Currently there are no specific recommendations for the best treatment of this entity.
CASE: A 35-year-old nullipara presented with 8 weeks of amenorrhea and painless brown discharge. The patient was diagnosed with cervical pregnancy with embryonic cardiac activity. A conservative surgical treatment under general anesthesia involved intracervical infiltration of carboprost, cerclage, suction curettage of cervix, and Foley balloon tamponade was performed. The Foley was removed on day 2 and the cerclage on day 7.
CONCLUSION: Early cervical pregnancy was treated with combined cervical cerclage, intracervical infiltration of carboprost, curettage, and balloon tamponade. Severe hemorrhage during suction curettage and the adverse effects and complications of systemic methotrexate treatment were avoided.
Volume
109
Issue
2 Pt2
First Page
505
Last Page
507
ISSN
0029-7844
Published In/Presented At
De La Vega, G. A., Avery, C., Nemiroff, R., & Marchiano, D. (2007). Treatment of early cervical pregnancy with cerclage, carboprost, curettage, and balloon tamponade. Obstetrics and gynecology, 109(2 Pt2), 505–507. https://doi.org/10.1097/01.AOG.0000220599.74326.94
Disciplines
Medicine and Health Sciences
PubMedID
17267874
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article