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A very rare case of an ectopic cervical intramural pregnancy.
MedLine Citation:
PMID:  20561615     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To report a case of a very rare ectopic cervical intramural pregnancy.
DESIGN: Case report.
SETTING: Prefectural hospital.
PATIENT(S): A 22-year-old woman, gravida 1, para 0, was referred to our hospital with the suspicion of a cervical ectopic pregnancy (EP). Pelvic examination revealed an enlarged uterine cervix with no genital bleeding. We found a clear gestational sac (GS) and fetal heart beat in the anterior muscular layer of the uterine cervix by ultrasonography, and confirmed these findings by magnetic resonance imaging (MRI).
INTERVENTION(S): We injected methotrexate (MTX) into the GS cavity and around the GS. One week later, the GS was removed surgically without massive bleeding.
MAIN OUTCOME MEASURE(S): On the 11th postoperative day, she recovered and was discharged from our hospital. Her menstruation restarted on the 35th postoperative day.
RESULT(S): We have shown a case of a very rare ectopic cervical intramural pregnancy with successful treatment.
CONCLUSION(S): We have explained a case and successful treatment of a very rare ectopic cervical intramural pregnancy with clear GS and fetal heart beat. Our strategy was injecting MTX into the GS cavity and around the GS, then performing an operation to remove the GS.
Authors:
Teruo Ohtsuka; Toru Hirata; Takashi Tsukiyama; Hiroaki Takana; Hideki Kawaguchi; Kiminari Terao
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Publication Detail:
Type:  Journal Article     Date:  2010-06-18
Journal Detail:
Title:  Fertility and sterility     Volume:  95     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  291.e11-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Obsterics, Gynecology, and Perinatology, Miyazaki Prefectural Nobeoka Hospital, Nobeoka City, Miyazaki Prefecture, Japan. totsuka3@miyazaki-catv.ne.jp
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