| Successful management of cervical pregnancy with medical intervention only: a case report. | |
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MedLine Citation:
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PMID: 17977172 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Cervical pregnancies are a rare form of ectopic pregnancy. They frequently present with hemorrhage and require hysterectomy to control bleeding. Their incidence may be higher with in vitro fertilization than previously considered. Since future fertility is desired in these patients, conservative management is frequently attempted. Increased early surveillance leads to earlier diagnosis and intervention. Most case reports to date indicated treating with either medical and surgical intervention or surgical intervention. CASE: A 36-year-old woman presented with recurrent pregnancy loss and tubal disease. In vitro fertilization was recommended. Embryo transfer resulted in a cervical pregnancy. She experienced painless vaginal bleeding shortly after her positive pregnancy test. A cervical pregnancy was diagnosed by early ultrasound. The patient underwent successful medical management and complete resolution with methotrexate alone. CONCLUSION: Cervical pregnancy, when diagnosed early, can be successfully treated with medical therapy. |
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Authors:
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Adelina M Emmi; Lawrence D Devoe; Daksha B Chudgar; Erin Holsten; Lawrence C Layman |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 52 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-11-05 Completed Date: 2008-01-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 950-2 Citation Subset: IM |
Affiliation:
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Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta 30912-3360, USA. aemmi@mcg.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortifacient Agents, Nonsteroidal
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administration & dosage* Adult Cervix Uteri / ultrasonography Embryo Transfer / adverse effects Female Humans Methotrexate / administration & dosage* Pregnancy Pregnancy, Ectopic / drug therapy*, etiology, ultrasonography* Treatment Outcome |
| 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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