SavedAdd your journal

Journals / Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2016 / Cilt: 27 - Sayı: 2

Alternative Treatment Method for Cervical Ectopic Pregnancy

Servikal Ektopik Gebelik İçin Alternatif Tedavi Yöntemi

Ali Emre TAHAOĞLU
Mehmet İrfan KÜLAHÇIOĞLU
Cihan TOĞRU
Ahmet ESER
Pages
147–149
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There is no consensus yet on best treatment of cervical ectopic pregnancy, but conservative methods can avoid major surgical procedure such as hysterectomy and its consequences

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Cervical ectopic pregnancy is a very rare form of ectopic pregnancy.
📊
Key Findings & Data:Presently described is case of pregnant woman at gestational age of 7 weeks and 4 days who was admitted to clinic with vaginal bleeding.
💡
Conclusion & Impact:There is no consensus yet on best treatment of cervical ectopic pregnancy, but conservative methods can avoid major surgical procedure such as hysterectomy and its consequences
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Cervical ectopic pregnancy is a very rare form of ectopic pregnancy. Cervical ectopic pregnancy can be a cause of severe bleeding and it is associated with high morbidity and mortality. In recent years, many conservative methods of treatment seeking to preserve fertility have been reported. Presently described is case of pregnant woman at gestational age of 7 weeks and 4 days who was admitted to clinic with vaginal bleeding. Fetal cardiac activity was negative. Patient was successfully treated with high ligation suture and McDonald cerclage. There is no consensus yet on best treatment of cervical ectopic pregnancy, but conservative methods can avoid major surgical procedure such as hysterectomy and its consequences

Özet

Servikal ektopik gebelik, tüm ektopik gebelikler arasında çok nadir rastalanan bir ektopik gebelik formudur. Servikal ektopik gebelik ciddi bir hemoraji nedeni olabilir. Ayrıca yüksek morbidite ve mortalite ile ilişkilidir. Son yıllarda fertiliteyi korumak amacı ile farklı birçok konservatif yaklaşım rapor edilmiştir. Kliniğimize yedi hafta dört gün ile uyumlu fetal kardiyak aktivitesi olmayan gebe vajinal kanama şikayeti ile başvurdu. Hasta yüksek servikal sütür ve Mcdonald serklaj uygulanarak başarı ile tedavi edildi. Servikal gebelik tedavisi hala tartışma konusudur. Fakat tedavi konusunda henüz kesin bir fikir birliği bulunmamaktadır. Konservatif yaklaşım hastayı histerektomi gibi büyük bir cerrahiden ve bunun getirdiği kötü sonuçlardan koruyabilir

🔖

Cite This Article

TAHAOĞLU, A. E., KÜLAHÇIOĞLU, M. İ., TOĞRU, C., ESER, A. (2022). Alternative Treatment Method for Cervical Ectopic Pregnancy. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 27 - Sayı: 2, 147–149. https://ajindex.com/articles/571263

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Wang Y, Xu B, Dai S, Zhang Y, Duan Y, Sun C. An efficient conservative treatment modality for cervical pregnancy: angiographic uterine artery embolization followed by immediate curettage. Am J Obstet Gynecol 2011;204:31. e1–7
  2. Ushakov FB, Elchalal U, Aceman PJ, Schenker JG. Cervical pregnancy: past and future. Obstet Gynecol Surv 1997;52:45–59
  3. McDonald IA. Suture of the cervix for inevitable miscarriage. J Obstet Gynaecol Br Emp 1957;64:346–50
  4. Heikinheimo O, Leminen A, Cacciatore B, Rutanen EM, Kajanoja P. Advanced cervical pregnancy: uterus-sparing therapy initiated with a combination of methotrexate and mifepristone followed by evacuation and local hemostatic measures. Acta Obstet Gynecol Scand 2004;83:211–3
  5. Kung FT, Chang SY. Efficacy of methotrexate treatment in viable and nonviable cervical pregnancies. Am J Obstet Gynecol 1999;181:1438–44
  6. Cerveira I, Costa C, Santos F, Santos L, Cabral F. Cervical ectopic pregnancy successfully treated with local methotrexate injection. Fertil Steril 2008;90:2005.e7–2005.e10
  7. Spitzer D, Steiner H, Graf A, Zajc M, Staudach A. Conservative treatment of cervical pregnancy by curettage and local prostaglandin injection. Hum Reprod 1997;12:860– 6
  8. Mashiach S, Admon D, Oelsner G, Paz B, Achiron R, Zalel Y. Cervical Shirodkar cerclage may be the treatment modality of choice for cervical pregnancy. Hum Reprod 2002;17:493–6
  9. Trambert JJ, Einstein MH, Banks E, Frost A, Goldberg GL. Uterine artery embolization in the management of vaginal bleeding from cervical pregnancy: a case series. J Reprod Med 2005;50:844–50
  10. Sherer DM, Lysikiewicz A, Abulafia O. Viable cervical pregnancy managed with systemic Methotrexate, uterine artery embolization, and local tamponade with inflated Foley catheter balloon. Am J Perinatol 2003;20:263–7
  11. Kim MG, Shim JY, Won HS, Lee PR, Kim A. Conservative management of spontaneous heterotopic cervical pregnancy using an aspiration cannula and pediatric Foley catheter. Ultrasound Obstet Gynecol 2009;33:733–4
  12. Kung FT, Lin H, Hsu TY, Chang CY, Huang HW, Huang LY, et al. Differential diagnosis of suspected cervical pregnancy and conservative treatment with the combination of laparoscopy-assisted uterine artery ligation and hysteroscopic endocervical resection. Fertil Steril 2004;81:1642–9
  13. Atılgan R, Şimşek M, Özkan ZS, Pınar GG, Orak U, Aygün BK, ve ark. On dokuz haftalık bir servikal gebelik olgusu. Türkiye Klinikleri J Gynecol Obst 2013;23:60–3
  14. Ben Far