Combined medical-hysteroscopic conservative treatment of a viable cervical pregnancy: A case report

J Minim Invasive Gynecol. 2006 Jul-Aug;13(4):345-7. doi: 10.1016/j.jmig.2006.03.009.

Abstract

Cervical pregnancy (CP) is an uncommon ectopic pregnancy that accounts for approximately less than 1% of extrauterine gestations. This case report describes a case of a viable ectopic CP successfully treated with systemic methotrexate therapy combined with hysteroscopic local endocervical resection of the heterotopic gestational sac. This approach, if validated, could be considered the treatment of choice to preserve the uterus in these young patients.

Publication types

  • Case Reports

MeSH terms

  • Abortifacient Agents, Nonsteroidal / administration & dosage
  • Abortifacient Agents, Nonsteroidal / therapeutic use*
  • Adult
  • Cervix Uteri
  • Chorionic Gonadotropin, beta Subunit, Human / blood
  • Combined Modality Therapy
  • Female
  • Humans
  • Hysteroscopy*
  • Injections, Intramuscular
  • Methotrexate / administration & dosage
  • Methotrexate / therapeutic use*
  • Pregnancy
  • Pregnancy, Ectopic / blood
  • Pregnancy, Ectopic / diagnostic imaging
  • Pregnancy, Ectopic / therapy*
  • Ultrasonography, Prenatal

Substances

  • Abortifacient Agents, Nonsteroidal
  • Chorionic Gonadotropin, beta Subunit, Human
  • Methotrexate