Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report

Author:

Rouvali Angeliki1,Vlastarakos Panagiotis1ORCID,Stavros Sofoklis1,Giourga Maria1,Pappa Kalliopi1,Gerede Angeliki2,Rodolakis Alexandros1,Domali Ekaterini1ORCID

Affiliation:

1. 1st Department of Obstetrics and Gynaecology, Alexandra Hospital, National and Kapodistrian University of Athens, Athens, Greece

2. Department of Obstetrics and Gynecology Democritus, University of Thrace Alexandroupolis, Greece

Abstract

This study is aimed at describing a noninvasive conservative strategy to the treatment of cervical pregnancy and highlighting the success of ultrasound-guided therapeutic techniques. A 43-year-old woman with a history of one previous cesarean section presented in our unit with vaginal spotting and a positive urine pregnancy test. She was diagnosed with a cervical pregnancy, and she was successfully treated conservatively with the administration of intragestational sac methotrexate under ultrasound guidance. Cervical pregnancy is a rare form of ectopic pregnancy that results from conceptus implantation in the cervical canal. The main concern is the associated life-threatening hemorrhage and subsequent need for urgent hysterectomy. The evolution of ultrasound over the past decades has enabled early diagnosis and has shifted the management from a radical surgical approach towards a stepwise conservative therapeutic approach, when possible.

Publisher

Hindawi Limited

Subject

Obstetrics and Gynecology

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