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Consecutive cervical pregnancies.

Abstract：

OBJECTIVE:Report of a rare case of consecutive spontaneous cervical pregnancies. DESIGN:Case study. SETTING:Teaching hospital. PATIENT(S):One healthy nulliparous woman in the early years of her fourth decade. INTERVENTION(S):The first of two cervical pregnancies was treated with two doses of methotrexate and subsequent uterine artery embolization. The second was treated with methotrexate, intracervical Foley catheter placement, hysteroscopic ablation of the bleeding cervical bed, and replacement of the Foley catheter with gradual deflation of balloon. MAIN OUTCOME MEASURE(S):Recognition and successful treatment of cervical ectopic pregnancy. RESULT(S):Each of the two cervical pregnancies was successfully treated. The patient subsequently carried a spontaneous intrauterine pregnancy to term. CONCLUSION(S):A comprehensive MEDLINE search revealed that this appears to be the first reported case of recurrent spontaneous cervical pregnancies, and only the second known case of recurrent cervical pregnancy. Cervical pregnancies have generally been treated with hysterectomy because of the potential for massive hemorrhage. However, current treatment options permit effective conservative management in women who desire continued fertility. This case illustrates various treatment options, under different circumstances, in the same individual.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Radpour CJ,Keenan JA

doi

10.1016/j.fertnstert.2003.06.012

keywords:

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

210-3

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015028203022866

journal_volume

81

pub_type

杂志文章

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