| Conservative treatment by angiographic artery embolization of an 11-week cervical pregnancy after a period of heavy bleeding. | |
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MedLine Citation:
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PMID: 12969708 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe a rare case of conservative treatment of an 11-week cervical pregnancy after a period of heavy bleeding. DESIGN: Case report. SETTING: A university hospital. PATIENT(S): A 33-year-old woman was admitted to our hospital for treatment of a cervical pregnancy. Two-and-a-half years thereafter, she gave birth to a healthy baby by vaginal delivery at 38 weeks of gestation. INTERVENTION(S): Systemic methotrexate treatment, ligation of descending branches of uterine arteries, cervical cerclage, and unilateral internal iliac artery embolization. MAIN OUTCOME MEASURE(S): Transvaginal ultrasound, magnetic resonance imaging, and arteriography findings. RESULT(S): The patient was successfully treated with unilateral internal iliac artery embolization on the same side as the pregnancy in the 11th gestational week. CONCLUSION(S): After failed methotrexate and vessel ligation in cervical pregnancy, unilateral internal iliac artery embolization is an effective and conservative treatment that allows preservation of reproduction potential. |
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Authors:
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Nobuhiro Suzumori; Kinue Katano; Takeshi Sato; Junko Okada; Tamao Nakanishi; Daisuke Muto; Yoshikatsu Suzuki; Katsuo Ikuta; Kaoru Suzumori |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Fertility and sterility Volume: 80 ISSN: 0015-0282 ISO Abbreviation: Fertil. Steril. Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-09-12 Completed Date: 2003-10-17 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: 617-9 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Nagoya City University Medical School, Nagoya, Japan. og.n.suz@med.nagoya-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortifacient Agents, Nonsteroidal
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therapeutic use Adult Angiography Arteries Cerclage, Cervical Embolization, Therapeutic* Female Humans Iliac Artery* Ligation Magnetic Resonance Imaging Menorrhagia / etiology*, therapy* Methotrexate / therapeutic use Pregnancy Pregnancy, Ectopic / complications*, diagnosis, drug therapy, ultrasonography Retreatment Treatment Failure Uterus / blood supply* |
| 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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