| Viable cervical pregnancy managed with systemic Methotrexate, uterine artery embolization, and local tamponade with inflated Foley catheter balloon. | |
| | |
MedLine Citation:
|
PMID: 13680510 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We present an unusual case of a primigravida with a viable cervical pregnancy diagnosed by transvaginal ultrasound and magnetic resonance imaging. Staggered conservative therapeutic measures included systemic high-dose Methotrexate with Folinic acid rescue followed by bilateral embolization of the uterine arteries in response to active cervical bleeding despite declining serum beta-human chorionic gonadotropin levels. Continued active cervical bleeding responded to local tamponade with an inflated Foley catheter balloon positioned within the cervical canal. Conservative treatment was successful, with complete resolution of the cervical pregnancy, resumption of normal menstrual cycles, and a normal transvaginal ultrasonographic appearance of the cervical canal, documented 8 weeks after the initial diagnosis. This case and review of the literature support that various staggered conservative hemostatic measures may be used at various points in which bleeding may occur in the conservative management algorithm of cervical pregnancy. |
| | |
Authors:
|
David M Sherer; Andrzej Lysikiewicz; Ovadia Abulafia |
Publication Detail:
|
Type: Case Reports; Journal Article; Review |
Journal Detail:
|
Title: American journal of perinatology Volume: 20 ISSN: 0735-1631 ISO Abbreviation: Am J Perinatol Publication Date: 2003 Jul |
Date Detail:
|
Created Date: 2003-09-18 Completed Date: 2004-01-08 Revised Date: 2010-12-01 |
Medline Journal Info:
|
Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: United States |
Other Details:
|
Languages: eng Pagination: 263-7 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, St. Luke's Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, New York, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abortifacient Agents, Nonsteroidal
/
administration & dosage* Adult Balloon Dilation Balloon Occlusion Cervix Uteri* Diagnosis, Differential Embolization, Therapeutic Female Humans Magnetic Resonance Imaging Methotrexate / administration & dosage* Parity Pregnancy Pregnancy Trimester, First Pregnancy, Ectopic / pathology, therapy*, ultrasonography Ultrasonography, Prenatal |
| Chemical | |
Reg. No./Substance:
|
0/Abortifacient Agents, Nonsteroidal; 59-05-2/Methotrexate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Treatment of substance abuse during pregnancy and infant outcome.
Next Document: Disseminated Trichosporon asahii infection in a preterm.