| Maternal complication of cervical heterotopic pregnancy after successful potassium chloride fetal reduction. | |
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MedLine Citation:
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PMID: 15482775 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To present a case of maternal morbidity encountered in a cervical heterotopic pregnancy after successful potassium chloride (KCl) injection for transvaginal multifetal pregnancy reduction. DESIGN: Case report. SETTING: Tertiary referral care center. PATIENT(S): A woman with heterotopic twin gestation after IVF. INTERVENTION(S): Diagnosis of a viable cervical heterotopic pregnancy was made at 6 weeks by ultrasound. A transvaginal reduction by KCl injection of the cervical pregnancy was performed under sonographic guidance. MAIN OUTCOME MEASURE(S): Maternal morbidity and mortality. RESULT(S): Although contents of the gestational sac within the cervix resolved, the trophoblastic tissue increased in both size and vascularity. The patient continued to have self-limited vaginal bleeding throughout the pregnancy. However, at 31 weeks, she had an acute hemorrhage, resulting in an emergency cesarean hysterectomy secondary to profuse bleeding from retained cervical trophoblastic tissue. CONCLUSION(S): Although KCl transvaginal multifetal pregnancy reduction might successfully terminate a cervical heterotopic pregnancy, the ongoing pregnancy might be complicated by persistence and even enlargement of remaining trophoblastic tissue, leading to obstetric hemorrhage. |
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Authors:
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Cynthia Gyamfi; Samantha Cohen; Joanne L Stone |
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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: 82 ISSN: 0015-0282 ISO Abbreviation: Fertil. Steril. Publication Date: 2004 Oct |
Date Detail:
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Created Date: 2004-10-14 Completed Date: 2004-11-23 Revised Date: - |
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: 940-3 Citation Subset: IM |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, Mount Sinai School of Medicine, New York, New York 10029, USA. cynthia.gyamfi@mssm.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cervix Uteri / pathology Cesarean Section Female Humans Hysterectomy Postpartum Hemorrhage / pathology Potassium Chloride / pharmacology* Pregnancy Pregnancy Reduction, Multifetal / adverse effects, methods* Pregnancy, Ectopic / etiology*, therapy |
| Chemical | |
Reg. No./Substance:
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7447-40-7/Potassium Chloride |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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