Document Detail

Exocervical pregnancy in a patient with intrauterine device: a case report.
MedLine Citation:
PMID:  18971144     Owner:  NLM     Status:  MEDLINE    
Cervical pregnancy (CP) is a rare and life-threatening ectopic pregnancy characterized by implantation of the fertilized ovum into the cervix, whereas exocervical pregnancy is an extremely rare CP with implantation of the fertilized ovum on the exocervix. Possible causative factors of CP such as tubal dysfunction, impaired sperm motility, previous uterine surgery, or the use of intrauterine device were not clearly associated with the development of CP until now. Diagnosis of CP is usually established by ultrasonography and by beta-human chorionic gonadotropin serum tests, but definitive diagnosis is by histologic examination. Current treatment strategies of CP, which were described in some reports, involve: medical treatment with methotrexate, surgical removal of ectopic trophoblastic tissues, cervical cerclage and vaginal packing, ligation of descending branches of uterine arteries or hypogastric arteries, and unilateral internal iliac artery embolization. We report a case of exocervical pregnancy contemporary to intrauterine device normally inserted, diagnosed by colposcopy, beta-human chorionic gonadotropin, and histology, and treated by a local excision without using methotrexate chemotherapy.
Antonio Malvasi; Andrea Tinelli; Gernot Hudelist; Raffaele Tinelli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  15     ISSN:  1553-4650     ISO Abbreviation:  -     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-10-30     Completed Date:  2009-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  758-60     Citation Subset:  IM    
Department of Obstetrics and Gynecology at Santa Maria Hospital, Bari, Italy.
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MeSH Terms
Cervix Uteri / pathology,  surgery*
Infant, Newborn
Intrauterine Devices / adverse effects*
Pregnancy, Ectopic / pathology,  surgery*
Surgical Procedures, Minimally Invasive / methods*
Treatment Outcome

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