Document Detail

Combined intrauterine and twin cervical pregnancy managed by a new conservative modality.
MedLine Citation:
PMID:  17349638     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe a rare case of a heterotopic pregnancy with two gestational sacs in the cervix and one in the uterine cavity. DESIGN: Case report. SETTING: Tertiary university hospital. PATIENT(S): A 45-year-old woman was diagnosed with a triplet gestation 7 weeks following IVF treatment for primary infertility of 5 years' duration. Transvaginal ultrasound scan revealed three gestational sacs: one sac inside the uterine cavity containing a live fetus, and two sacs in the uterine cervix, one containing a live fetus and a second empty sac. INTERVENTION(S): Pregnancy termination was performed by selective intraarterial catheterization of the uterine artery, intraarterial administration of methotrexate, and uterine artery embolization with Gelfoam. MAIN OUTCOME MEASURE(S): Intra- or postprocedural complications and fertility preservation. RESULT(S): The pregnancy termination was successfully performed without intra- or postprocedural complications, with preservation of the patient's fertility. CONCLUSION(S): Intraarterial methotrexate with uterine vessel embolization is an effective conservative approach to heterotopic cervical pregnancy.
Shmuel Nitke; Eran Horowitz; Jacob Farhi; Haim Krissi; Josef Shalev
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-03-08
Journal Detail:
Title:  Fertility and sterility     Volume:  88     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-11     Completed Date:  2007-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  706.e1-3     Citation Subset:  IM    
The Helen Schneider Comprehensive Women's Health Center, Rabin Medical Center, Petach Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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MeSH Terms
Abortion, Induced / methods
Cervix Uteri*
Embolization, Therapeutic
Middle Aged
Pregnancy, Ectopic / therapy*
Pregnancy, Multiple
Uterus / blood supply

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