| Treatment of early cervical pregnancy with cerclage, carboprost, curettage, and balloon tamponade. | |
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MedLine Citation:
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PMID: 17267874 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Cervical pregnancy, an uncommon variety of ectopic gestation is associated with high morbidity and adverse consequences for future fertility. Currently there are no specific recommendations for the best treatment of this entity. CASE: A 35-year-old nullipara presented with 8 weeks of amenorrhea and painless brown discharge. The patient was diagnosed with cervical pregnancy with embryonic cardiac activity. A conservative surgical treatment under general anesthesia involved intracervical infiltration of carboprost, cerclage, suction curettage of cervix, and Foley balloon tamponade was performed. The Foley was removed on day 2 and the cerclage on day 7. CONCLUSION: Early cervical pregnancy was treated with combined cervical cerclage, intracervical infiltration of carboprost, curettage, and balloon tamponade. Severe hemorrhage during suction curettage and the adverse effects and complications of systemic methotrexate treatment were avoided. |
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Authors:
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Guillermo A De La Vega; Caudrean Avery; Richard Nemiroff; Dominic Marchiano |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 109 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2007 Feb |
Date Detail:
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Created Date: 2007-02-01 Completed Date: 2007-02-20 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 505-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, Pennsylvania 19107-6192, USA. guillermodelavega@comcast.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortifacient Agents, Nonsteroidal
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administration & dosage Adult Carboprost / administration & dosage Catheterization Cerclage, Cervical Combined Modality Therapy Diagnosis, Differential Dilatation and Curettage Female Humans Pregnancy Pregnancy Trimester, First Pregnancy, Ectopic / diagnosis*, therapy* Vaginal Discharge |
| Chemical | |
Reg. No./Substance:
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0/Abortifacient Agents, Nonsteroidal; 35700-23-3/Carboprost |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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