A combined intrauterine and cervical pregnancy diagnosed in the 13th gestational week: which type of management is more feasible and successful?

Fruscalzo, Arrigo; Mai, Marion; Löbbeke, Kay; Marchesoni, D.; Klockenbusch, Walter

doi:10.1016/j.fertnstert.2007.03.072

Cited by 10 publications

(3 citation statements)

References 13 publications

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“…In Cho JH et al study, simple cervical embryo aspiration under transvaginal ultrasonography guidence was reported as a succesfull procedure (13) . Fruscalzo A. et al demonstrated a spontaneous abortion after cervical pregnancy termination with same technique (14) . In Moragianni et al study, they reviewed 39 reported cases with heterotopic cervical pregnancy and alive intrauterine pregnancy.…”

Section: Discussionmentioning

confidence: 98%

Heterotopic Cervical Pregnancy With Fetal Survival

Kayatas¹,

Meşeci²,

Cakar³

et al. 2014

J Turk Soc Obstet Gynecol

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Section: Discussionmentioning

confidence: 98%

Heterotopic Cervical Pregnancy With Fetal Survival

Kayatas¹,

Meşeci²,

Cakar³

et al. 2014

J Turk Soc Obstet Gynecol

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“…However, using this method, another case report stated that an intra-uterine pregnancy was complicated by development of uterine varices at the cervical site, although the outcome was satisfactory [ 12 ]. Spontaneous abortion of intra-uterine pregnancy can occur after various methods of cervical pregnancy termination [ 13 ]. Transvaginal ultrasound-guided aspiration of cervical pregnancy and instillation of a hypertonic solution of sodium chloride can be a valuable treatment for heterotopic cervical pregnancy, and its application does not threaten the intra-uterine pregnancy [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Modification of conservative treatment of heterotopic cervical pregnancy by Foley catheter balloon fixation with cerclage sutures at the level of the external cervical os: a case report

Hafner¹,

Ivkošić²,

Šerman³

et al. 2010

J Med Case Reports

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IntroductionConservative treatment of a heterotopic cervical pregnancy was performed with a modification of the fixation of a Foley catheter at the level of the external cervical os, followed by the ligature of the descending cervical branches of the uterine arteries and systemic methotrexate application.Case presentationA 34-year-old Caucasian woman was diagnosed with double gestation after 6 weeks of in vitro fertilization treatment. A gynecological examination and color Doppler ultrasound scan revealed intra-uterine and cervical gestational sacs both containing live fetuses. A Foley catheter balloon was inserted into the cervical canal, inflated and fixed by a cerclage suture at the level of the external cervical os, followed by ligation of the descending cervical branches of the uterine arteries. Systemic methotrexate was applied. Three days after removal of the Foley catheter, an evacuation of the intra-uterine gestational sac was performed. Hemorrhage from the implantation site was controlled immediately and a pregnancy termination was successfully performed. The procedure was uneventful and our patient was discharged with a preserved uterus.ConclusionsConservative treatment of cervical pregnancy using a Foley catheter balloon is more efficacious if the Foley catheter balloon is attached in the correct position with a cerclage suture at the level of the external os, followed by ligation of the descending cervical branches of the uterine arteries, thereby exerting maximal pressure on the bleeding vessels.

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“…5, April 2011 six cases the intrauterine pregnancy was preserved, but these pregnancies were associated with the development of major obstetric complications such as cervical placenta accreta extending into the bladder (22) or severe postpartum bleeding with diffuse intravascular coagulation and secondary hysterectomy (23). In cases of severe bleeding complications, vaginal packing (6), cervical hemostatic sutures (13), and either ligation or angiographic embolization of bilateral uterine arteries were attempted in efforts to reduce blood loss (6,14,19). A primary decision was taken to end both pregnancies in five cases (3,6,7,14,24) (Table 2).…”

Section: Heterotopic Cervical Pregnanciesmentioning

confidence: 99%