Document Detail


Uterine artery embolization--a successful treatment to control bleeding cervical pregnancy with a simultaneous intrauterine gestation.
MedLine Citation:
PMID:  10100008     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of a woman suffering from a bleeding heterotopic cervical pregnancy is described. The concurrent cervical pregnancy and intrauterine gestation were diagnosed by ultrasound and bleeding was initially controlled with selective fluoroscopic uterine artery embolization. A selective fetal reduction was done with ultrasound-guided intracardiac potassium chloride. Uterine artery embolization has been used successfully to control haemorrhage in cervical pregnancies when the main goal was to allow preservation of the uterus, thus maintaining potential fertility. This is the first report of arterial embolization used to control bleeding for maintaining a concurrent intrauterine heterotopic pregnancy in an in-vitro fertilization patient. Unfortunately, subsequent conservative measures led to undesired outcome. This procedure initially controlled the bleeding without disrupting the intrauterine fetal cardiac activity.
Authors:
L Honey; A Leader; P Claman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  14     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-05-26     Completed Date:  1999-05-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  553-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Ottawa Hospital, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteries
Cervix Uteri
Embolization, Therapeutic*
Embryo Transfer
Female
Fertilization in Vitro
Fetal Death / surgery,  ultrasonography
Humans
Hysterectomy
Pregnancy
Pregnancy, Ectopic / therapy*
Pregnancy, Multiple*
Twins
Uterine Hemorrhage / therapy*
Uterus / blood supply*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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