Document Detail


Conservative treatment of cervical pregnancy with selective unilateral uterine artery embolization.
MedLine Citation:
PMID:  18084146     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Cervical pregnancy is a rare form of ectopic pregnancy, and the most effective method of its treatment is still under investigation. We would like to call attention to selective uterine artery embolization as an effective modern treatment method. CASE: A patient with suspected cervical pregnancy and 7-week amenorrhea was admitted to the hospital after unsuccessful use of emergency contraception. Transvaginal ultrasound showed gestational sack located 11 mm from the external cervical os. Crown-rump length was 11.2 cm, and the fetal heartbeat was present. The level of serum chorionic gonadotropin was 31,930 U/L. Treatment with systemic methotrexate was unsuccessful, and unilateral uterine artery embolization was performed followed by dilatation and curettage of the cervical canal. Three days after the procedure, sonographic examination showed contracted cervical canal. After a period of two months, normal uterine artery flow was registered by Doppler ultrasonography on both sides. CONCLUSION: Uterine artery embolization in case of cervical pregnancy reduces the risk of bleeding and can be the method of choice when treatment with methotrexate fails. Unilateral embolization is effective when angiography shows unequal disposition of the arterial connections supplying the embryo.
Authors:
Rūta Nadisauskiene; Edvardas Vaicekavicius; Viktorija Taraseviciene; Daiva Simanaviciūte
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medicina (Kaunas, Lithuania)     Volume:  43     ISSN:  1648-9144     ISO Abbreviation:  Medicina (Kaunas)     Publication Date:  2007  
Date Detail:
Created Date:  2007-12-17     Completed Date:  2008-01-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9425208     Medline TA:  Medicina (Kaunas)     Country:  Lithuania    
Other Details:
Languages:  eng     Pagination:  883-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Kaunas University of Medicine, Kaunas, Lithuania.
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MeSH Terms
Descriptor/Qualifier:
Abortifacient Agents, Nonsteroidal / administration & dosage
Adult
Angiography
Arteries
Cervix Uteri
Collateral Circulation
Dilatation and Curettage
Embolization, Therapeutic*
Female
Humans
Injections, Intramuscular
Methotrexate / administration & dosage
Pregnancy
Pregnancy, Ectopic / radiography,  therapy*,  ultrasonography
Treatment Outcome
Ultrasonography, Doppler
Uterus / blood supply*
Chemical
Reg. No./Substance:
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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