Diagnosis and treatment of cervical ectopic pregnancy - case report

Dobrosavljevic, A.; Bonaci-Nikolic, Branka; Jurisisc, A.; Zečević, Nada; Aničić, Radomir; Jeftović, Miloš

doi:10.12891/ceog4207.2019

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Patients present with painless vaginal bleeding, but there have been reports of pain and cramps. Clinical diagnostic criteria for the diagnosis of cervical pregnancy are shown in Table 1 [ 4 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

Conservative Management of Cervical Pregnancy with the Administration of Methotrexate and Potassium Chloride: A Case Report

Masroor

Zarei

Sheibani

2022

Case Reports in Obstetrics and Gynecology

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Background. Cervical pregnancy is a rare form of ectopic pregnancy in which the fetus implants and grows inside the endocervical canal. This report aims at introducing a case of successful conservative management of cervical ectopic pregnancy. Case presentation. The patient was a 35-year-old woman, who had received treatment for primary infertility for 5 years. She complained of painless bleeding on day 37 of gestational age with a start point from 10 days before. The patient had stable vital signs and was referred to Shahid Akbar Abadi Hospital in Tehran affiliated with the Iran University of Medical Sciences. In the ultrasonography, the pregnancy sac and the yolk sac with the embryonic pole with a positive fetal heart rate were presented and located near the internal os, so the cervical pregnancy was diagnosed, and after treatment with intramuscular methotrexate and intra-amniotic administration of potassium chloride, a gradual decrease in β-HCG levels was observed without the need for additional interventional treatment. Conclusion. The primary takeaway of our report is that the conservative treatment, including intramuscular methotrexate and intrauterine potassium chloride administration, may be effective in treating cervical pregnancy that can be detected early without the use of curettage.

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Section: Introductionmentioning

confidence: 99%

Conservative Management of Cervical Pregnancy with the Administration of Methotrexate and Potassium Chloride: A Case Report

Masroor

Zarei

Sheibani

2022

Case Reports in Obstetrics and Gynecology

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Analysis of the diagnosis and management of cervical ectopic pregnancies in Ecuador, through the study of cases described in the bibliography

Mata Chango,

Urbina Romo,

Solís Sánchez

2023

Salud, Ciencia y Tecnología - Serie de Conferencias

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Ectopic pregnancy is a condition in which the fertilized egg implants and begins to grow outside the uterus, usually in one of the fallopian tubes. Currently, with the advancement of science, the diagnosis can be made within the first weeks of evolution, after fertilization, identifying the gestational sac in the cervix using ultrasound techniques that seek to implement a measured treatment that does not affect the fertility of the the patient. The objective of the research consists of analysis of the diagnosis and management of cervical ectopic pregnancies in Ecuador, through the study of cases described in the bibliography. The type of research is of a descriptive bibliographic nature, because it seeks to identify the diagnostic tools and clinical criteria described, as well as risk factors described in the bibliography. There are clinical criteria that help detect a cervical ectopic pregnancy such as intense abdominal and pelvic pain, abundant vaginal bleeding, hemorrhages and sensitivity in the area near the cervix. Among the treatment options that exist are medications such as methotrexate or some others that inhibit embryonic growth. In Ecuador this problem is growing and is due to the absence of knowledge about the malformation and the lack of a protocol for its management and resolution, given that there is no established order in how to treat patients with this pathology, causing medical care slows down and generates greater complications

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Diagnosis and treatment of cervical ectopic pregnancy - case report

Cited by 2 publications

References 6 publications

Conservative Management of Cervical Pregnancy with the Administration of Methotrexate and Potassium Chloride: A Case Report

Conservative Management of Cervical Pregnancy with the Administration of Methotrexate and Potassium Chloride: A Case Report

Analysis of the diagnosis and management of cervical ectopic pregnancies in Ecuador, through the study of cases described in the bibliography

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