Successful management of cervical pregnancy with medical intervention only: A case report

Adelina M. Emmi, Lawrence D Devoe, Daksha B. Chudgar, Erin Holsten, Lawrence C Layman

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

BACKGROUND: Cervical pregnancies are a rare form of ectopic pregnancy. They frequently present with hemorrhage and require hysterectomy to control bleeding. Their incidence may be higher with in vitro fertilization than previously considered. Since future fertility is desired in these patients, conservative management is frequently attempted. Increased early surveillance leads to earlier diagnosis and intervention. Most case reports to date indicated treating with either medical and surgical intervention or surgical intervention. CASE: A 36-year-old woman presented with recurrent pregnancy loss and tubal disease. In vitro fertilization was recommended. Embryo transfer resulted in a cervical pregnancy. She experienced painless vaginal bleeding shortly after her positive pregnancy test. A cervical pregnancy was diagnosed by early ultrasound. The patient underwent successful medical management and complete resolution with methotrexate alone. CONCLUSION: Cervical pregnancy, when diagnosed early, can be successfully treated with medical therapy.

Original languageEnglish (US)
Pages (from-to)950-952
Number of pages3
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume52
Issue number10
StatePublished - Oct 1 2007

Keywords

  • Cervix
  • Ectopic pregnancy
  • Embryo transfer
  • In vitro fertilization
  • Methotrexate

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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