Treatment of early cervical pregnancy with cerclage, carboprost, curettage, and balloon tamponade. Obstetrics and gynecology [Obstet Gynecol] Journal article | | Title | Treatment of early cervical pregnancy with cerclage, carboprost, curettage, and balloon tamponade. | | Author(s) | De La Vega GA, Avery C, Nemiroff R, Marchiano D | | Institution | Department of Obstetrics and Gynecology, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, Pennsylvania 19107-6192, USA. guillermodelavega@comcast.net | | Source | Obstet Gynecol 2007 Feb; 109(2 Pt2):505-7. | | MeSH | Abortifacient Agents, Nonsteroidal
Adult
Carboprost
Catheterization
Cerclage, Cervical
Combined Modality Therapy
Diagnosis, Differential
Dilatation and Curettage
Female
Humans
Pregnancy
Pregnancy Trimester, First
Pregnancy, Ectopic
Vaginal Discharge
| | 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. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 17267874 |
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