Conservative treatment of cervical pregnancy with selective unilateral uterine artery embolization
Abstract
Case. A patient with suspected cervical pregnancy and 7-week amenorrhea was admitted to the hospital after unsuccessful use of emergency contraception. Transvaginal ultrasound showed gestational sack located 11 mm from the external cervical os. Crown-rump length was 11.2 cm, and the fetal heartbeat was present. The level of serum chorionic gonadotropin was 31 930 U/L. Treatment with systemic methotrexate was unsuccessful, and unilateral uterine artery embolization was performed followed by dilatation and curettage of the cervical canal. Three days after the procedure, sonographic examination showed contracted cervical canal. After a period of two months, normal uterine artery flow was registered by Doppler ultrasonography on both sides.
Conclusion. Uterine artery embolization in case of cervical pregnancy reduces the risk of bleeding and can be the method of choice when treatment with methotrexate fails. Unilateral embolization is effective when angiography shows unequal disposition of the arterial connections supplying the embryo.
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Nadišauskienė, R.; Vaicekavičius, E.; Tarasevičienė, V.; Simanavičiūtė, D. Conservative treatment of cervical pregnancy with selective unilateral uterine artery embolization. Medicina 2007, 43, 883. https://doi.org/10.3390/medicina43110114
Nadišauskienė R, Vaicekavičius E, Tarasevičienė V, Simanavičiūtė D. Conservative treatment of cervical pregnancy with selective unilateral uterine artery embolization. Medicina. 2007; 43(11):883. https://doi.org/10.3390/medicina43110114
Chicago/Turabian StyleNadišauskienė, Rūta, Edvardas Vaicekavičius, Viktorija Tarasevičienė, and Daiva Simanavičiūtė. 2007. "Conservative treatment of cervical pregnancy with selective unilateral uterine artery embolization" Medicina 43, no. 11: 883. https://doi.org/10.3390/medicina43110114