Document Detail

Cervical pregnancy--a conservative stepwise approach.
MedLine Citation:
PMID:  10221725     Owner:  NLM     Status:  MEDLINE    
A case of cervical pregnancy resistant to intramuscular methotrexate therapy is presented, which was successfully treated by intra-arterial methotrexate followed by selective prophylactic hypogastric artery embolization to avoid aggravating the vaginal bleeding. It is suggested that, in cervical pregnancies in which fertility preservation is desired, a stepwise conservative approach should be applied before resorting to surgical intervention.
M Yitzhak; R Orvieto; S Nitke; M Neuman-Levin; Z Ben-Rafael; A Schoenfeld
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  14     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-06-10     Completed Date:  1999-06-10     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  847-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Rabin Medical Center, Petah Tiqva, Israel.
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MeSH Terms
Cervix Uteri*
Chorionic Gonadotropin, beta Subunit, Human / blood
Drug Resistance
Embolization, Therapeutic
Femoral Artery
Hemorrhage / prevention & control
Iliac Artery
Infusions, Intra-Arterial
Methotrexate / administration & dosage,  therapeutic use
Pregnancy, Ectopic / therapy*
Uterine Cervical Diseases / prevention & control
Reg. No./Substance:
0/Chorionic Gonadotropin, beta Subunit, Human; 59-05-2/Methotrexate
Comment In:
Hum Reprod. 1999 Oct;14(10):2677-8   [PMID:  10528007 ]

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