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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Format: | Article |
Language: | English |
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Wiley
2021-01-01
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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. |
format | Article |
id | doaj-art-ad161111b4644ecb8ff47d36e37f6046 |
institution | Kabale University |
issn | 2090-6692 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
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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