Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report

This study is aimed at describing a noninvasive conservative strategy to the treatment of cervical pregnancy and highlighting the success of ultrasound-guided therapeutic techniques. A 43-year-old woman with a history of one previous cesarean section presented in our unit with vaginal spotting and a...

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Main Authors: Angeliki Rouvali, Panagiotis Vlastarakos, Sofoklis Stavros, Maria Giourga, Kalliopi Pappa, Angeliki Gerede, Alexandros Rodolakis, Ekaterini Domali
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2021/6601461
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author Angeliki Rouvali
Panagiotis Vlastarakos
Sofoklis Stavros
Maria Giourga
Kalliopi Pappa
Angeliki Gerede
Alexandros Rodolakis
Ekaterini Domali
author_facet Angeliki Rouvali
Panagiotis Vlastarakos
Sofoklis Stavros
Maria Giourga
Kalliopi Pappa
Angeliki Gerede
Alexandros Rodolakis
Ekaterini Domali
author_sort Angeliki Rouvali
collection DOAJ
description This study is aimed at describing a noninvasive conservative strategy to the treatment of cervical pregnancy and highlighting the success of ultrasound-guided therapeutic techniques. A 43-year-old woman with a history of one previous cesarean section presented in our unit with vaginal spotting and a positive urine pregnancy test. She was diagnosed with a cervical pregnancy, and she was successfully treated conservatively with the administration of intragestational sac methotrexate under ultrasound guidance. Cervical pregnancy is a rare form of ectopic pregnancy that results from conceptus implantation in the cervical canal. The main concern is the associated life-threatening hemorrhage and subsequent need for urgent hysterectomy. The evolution of ultrasound over the past decades has enabled early diagnosis and has shifted the management from a radical surgical approach towards a stepwise conservative therapeutic approach, when possible.
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institution Kabale University
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-ad161111b4644ecb8ff47d36e37f60462025-02-03T01:28:55ZengWileyCase Reports in Obstetrics and Gynecology2090-66922021-01-01202110.1155/2021/6601461Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case ReportAngeliki Rouvali0Panagiotis Vlastarakos1Sofoklis Stavros2Maria Giourga3Kalliopi Pappa4Angeliki Gerede5Alexandros Rodolakis6Ekaterini Domali71st Department of Obstetrics and Gynaecology1st Department of Obstetrics and Gynaecology1st Department of Obstetrics and Gynaecology1st Department of Obstetrics and Gynaecology1st Department of Obstetrics and GynaecologyDepartment of Obstetrics and Gynecology Democritus1st Department of Obstetrics and Gynaecology1st Department of Obstetrics and GynaecologyThis study is aimed at describing a noninvasive conservative strategy to the treatment of cervical pregnancy and highlighting the success of ultrasound-guided therapeutic techniques. A 43-year-old woman with a history of one previous cesarean section presented in our unit with vaginal spotting and a positive urine pregnancy test. She was diagnosed with a cervical pregnancy, and she was successfully treated conservatively with the administration of intragestational sac methotrexate under ultrasound guidance. Cervical pregnancy is a rare form of ectopic pregnancy that results from conceptus implantation in the cervical canal. The main concern is the associated life-threatening hemorrhage and subsequent need for urgent hysterectomy. The evolution of ultrasound over the past decades has enabled early diagnosis and has shifted the management from a radical surgical approach towards a stepwise conservative therapeutic approach, when possible.http://dx.doi.org/10.1155/2021/6601461
spellingShingle Angeliki Rouvali
Panagiotis Vlastarakos
Sofoklis Stavros
Maria Giourga
Kalliopi Pappa
Angeliki Gerede
Alexandros Rodolakis
Ekaterini Domali
Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report
Case Reports in Obstetrics and Gynecology
title Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report
title_full Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report
title_fullStr Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report
title_full_unstemmed Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report
title_short Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report
title_sort treatment of cervical pregnancy with ultrasound guided intragestational injection of methotrexate a case report
url http://dx.doi.org/10.1155/2021/6601461
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