Consecutive cervical pregnancies

Christopher J. Radpour, Jeffrey Keenan

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: Report of a rare case of consecutive spontaneous cervical pregnancies. Design: Case study. Setting: Teaching hospital. Patient(s): One healthy nulliparous woman in the early years of her fourth decade. Intervention(s): The first of two cervical pregnancies was treated with two doses of methotrexate and subsequent uterine artery embolization. The second was treated with methotrexate, intracervical Foley catheter placement, hysteroscopic ablation of the bleeding cervical bed, and replacement of the Foley catheter with gradual deflation of balloon. Main Outcome Measure(s): Recognition and successful treatment of cervical ectopic pregnancy. Result(s): Each of the two cervical pregnancies was successfully treated. The patient subsequently carried a spontaneous intrauterine pregnancy to term. Conclusion(s): A comprehensive MEDLINE search revealed that this appears to be the first reported case of recurrent spontaneous cervical pregnancies, and only the second known case of recurrent cervical pregnancy. Cervical pregnancies have generally been treated with hysterectomy because of the potential for massive hemorrhage. However, current treatment options permit effective conservative management in women who desire continued fertility. This case illustrates various treatment options, under different circumstances, in the same individual.

Original languageEnglish (US)
Pages (from-to)210-213
Number of pages4
JournalFertility and Sterility
Volume81
Issue number1
DOIs
StatePublished - Jan 1 2004

Fingerprint

Pregnancy
Methotrexate
Catheters
Uterine Artery Embolization
Hemorrhage
Ectopic Pregnancy
Hysterectomy
MEDLINE
Teaching Hospitals
Fertility
Therapeutics
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Consecutive cervical pregnancies. / Radpour, Christopher J.; Keenan, Jeffrey.

In: Fertility and Sterility, Vol. 81, No. 1, 01.01.2004, p. 210-213.

Research output: Contribution to journalArticle

Radpour, Christopher J. ; Keenan, Jeffrey. / Consecutive cervical pregnancies. In: Fertility and Sterility. 2004 ; Vol. 81, No. 1. pp. 210-213.
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