Successful Conservative Treatment for Large Cervical Ectopic Pregnancy

Thai Journal of Obstetrics and Gynaecology

article

Pranom Buppasiri¹  Lingling Salang¹  Anucha Ahooja²  Chumnan Kietpeerakool¹ 

[1] Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University;Department of Radiology, Faculty of Medicine, Khon Kaen University

关键词: cervical ectopic pregnancy;    methotrexate;    uterine artery embolization;   

DOI  :  10.14456/tjog.2020.32

学科分类：社会科学、人文和艺术（综合）

来源: The Royal Thai College of Obstetricians and Gynaecologists

【 摘 要 】

A rare case of cervical ectopic pregnancy presented with vaginal bleeding. Pelvic examination revealed large soft bluish mass at the posterior lip of the cervix. Transvaginal ultrasound showed a cervical mass with a gestational sac and 7-mm fetal echo without cardiac motion. Initial serum beta-human chorionic gonadotropin (hCG) was 29,489 mIU/ml. A two-dose regimen of methotrexate was intramuscularly administered. Bilateral uterine artery embolization was performed on day 14 due to heavy bleeding. One week later, sharp curettage at the cervical implantation site was carried out again because of re-massive bleeding. After discharge, serum beta-hCG levels were normal on day 45. Pathological study confirmed the clinical diagnosis of cervical ectopic pregnancy.

【 授权许可】

CC BY-NC-ND