| Consecutive cervical pregnancies. | |
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MedLine Citation:
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PMID: 14711570 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Christopher J Radpour; Jeffrey A Keenan |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Fertility and sterility Volume: 81 ISSN: 0015-0282 ISO Abbreviation: Fertil. Steril. Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2004-01-08 Completed Date: 2004-04-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 210-3 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, University of Tennessee Medical Center, Knoxville, Tennessee, USA. cradpour@galenmedical.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortifacient Agents, Nonsteroidal
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therapeutic use Adult Cervix Uteri* Embolization, Therapeutic / methods Female Hemorrhage / surgery Humans Hysteroscopy / methods Methotrexate / therapeutic use Pregnancy Pregnancy, Ectopic / therapy* |
| Chemical | |
Reg. No./Substance:
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0/Abortifacient Agents, Nonsteroidal; 59-05-2/Methotrexate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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