Management of cervical ectopic pregnancy after unsuccesful methotrexate treatment

Publish Year: 1393
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_IJRM-12-4_010

تاریخ نمایه سازی: 16 شهریور 1395

Abstract:

Background: Cervical pregnancy is rare and dangerous form of ectopic pregnancy which can be treated surgically or conservatively. Methotrexate is reasonable conservative option with high efficiency and acceptable level of side effects. Aim of this paper is to present possible treatment option in case of methotrexate failure, still keeping the postulates of minimal invasive surgery. Case: We describe a case of cervical ectopic pregnancy in nulliparous female that was unsuccessfully treated with single dose, local, ultrasound guided intraamniotic methotrexate. Due to vaginal bleeding caused by remaining products of conception a hysteroscopic resection was performed. Conclusion: Despite the problems that can occur in methotrexate treatment, it is still by far, cheapest and most effective treatment of cervical pregnancies. If necessary, procedure can be combined with other minimal invasive surgical procedures leading to satisfactory results. Hysteroscopic resection has enabled us to remove the product of conception from cervix making the minimal damage to the local tissue, thus preserving fertility

Authors

Siniša Šijanović

Cathedra for Gynaecology and Obstetrics, JJ. Strossmeyer University School of Medicine Osijek, Croatia

Domagoj Vidosavljević

Cathedra for Gynaecology and Obstetrics, JJ. Strossmeyer University School of Medicine Osijek, Croatia

Zlatko Topolovec

Cathedra for Gynaecology and Obstetrics, JJ. Strossmeyer University School of Medicine Osijek, Croatia

Andrea Milostić-Srb

Cathedra for Gynaecology and Obstetrics, JJ. Strossmeyer University School of Medicine Osijek, Croatia