Document Detail


Conservative management of second-trimester cervical ectopic pregnancy with placenta percreta.
MedLine Citation:
PMID:  17140571     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report successful conservative management of advanced cervical ectopic pregnancy with placenta percreta. DESIGN: Case report. Setting: University tertiary care hospital. PATIENT(S): A 37-year-old woman with second-trimester cervical ectopic pregnancy and placenta percreta. INTERVENTION(S): Ultrasound-guided injection of potassium chloride into the fetal heart followed by multiple systemic methotrexate injections, removal of fetal bones, cervical cerclage suture, and Foley catheter placement for control of hemorrhage. MAIN OUTCOME MEASURE(S): Low maternal morbidity and successful conservative management with preservation of fertility. RESULT(S): The cervical ectopic pregnancy was treated successfully without significant morbidity; the uterus was preserved, and the woman was delivered of a full-term live fetus in the next pregnancy. CONCLUSION(S): Advanced cervical ectopic pregnancy with placenta percreta is associated with high morbidity with surgical intervention. Conservative management with attendant low morbidity and uterus preservation is possible in advanced cervical ectopic pregnancy.
Authors:
Usha Verma; Furio Maggiorotto
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-11-29
Journal Detail:
Title:  Fertility and sterility     Volume:  87     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-16     Completed Date:  2007-03-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  697.e13-6     Citation Subset:  IM    
Affiliation:
Miller School of Medicine, University of Miami, Miami, Florida 33136, USA. uverma@med.miami.edu
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MeSH Terms
Descriptor/Qualifier:
Abortifacient Agents, Nonsteroidal / administration & dosage
Abortion, Therapeutic
Adult
Cerclage, Cervical
Cervix Uteri
Female
Humans
Methotrexate / therapeutic use
Placenta Accreta / therapy*
Potassium Chloride / administration & dosage
Pregnancy
Pregnancy, Ectopic / therapy*,  ultrasonography
Chemical
Reg. No./Substance:
0/Abortifacient Agents, Nonsteroidal; 59-05-2/Methotrexate; 7447-40-7/Potassium Chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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