Simultaneous intrauterine and cervical pregnancies after in vitro fertilization and embryo transfer in a patient with a history of a previous cervical pregnancy. Case report

Davies, D.W.; Masson, G. M.; McNeal, Alice; Gadd, S. C.

doi:10.1111/j.1471-0528.1990.tb02554.x

Cited by 27 publications

(10 citation statements)

References 6 publications

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“…Cervical and endometrial curettage was performed and then bilateral ligation of the cervical arteries was necessary to stop the hemorrhage. In 1990, Davies et al (9) reported another case, diagnosed because of bleeding in the 7th gestational week and complicated by clinical shock. Hemorrhage was successfully treated by blood transfusion, cervical pregnancy evacuation, and cerclage.…”

Section: Discussionmentioning

confidence: 97%

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

Fruscalzo

Mai

Löbbeke

et al. 2008

Fertility and Sterility

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Section: Discussionmentioning

confidence: 97%

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

Fruscalzo

Mai

Löbbeke

et al. 2008

Fertility and Sterility

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“…After the local injection of KCl and the cervical evacuation, spontaneous abortion of the intrauterine pregnancy occurred shortly after the procedure in a number of cases (10,16,25). In …”

Section: Discussionmentioning

confidence: 98%

Treatment of heterotopic cervical pregnancies

Faschingbauer

Mueller

Voigt

et al. 2011

Fertility and Sterility

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“…Mashiach et al en 2002 (13) reportan cuatro casos de embarazo ectópico cervical tratados exitosamente con cerclaje de Shirodkar, destaca que en tres de los casos las gestaciones se obtuvieron por medio de técnicas de reproducción asistidas, lo cual acentúa aún más la importancia del conservar el potencial fértil de estas pacientes, dejando a la histerectomía entre las últimas opciones de tratamiento. Similar relevancia tiene el trabajo de Davis et al quienes ante el diagnóstico de un embarazo gemelar heterotópico, con un saco en cérvix y el otro en cavidad, dada la contraindicación para el uso de MTX, se opta por realizar un cerclaje cervical, logrando conservar el saco normo inserto (14).…”

Section: Discussionunclassified

Embarazo Ectópico Cervical: Diagnóstico Y Tratamiento Conservador Con Cerclaje Cervical

F-D.

et al. 2005

Rev. chil. obstet. ginecol.

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RESUMENSe describen dos casos de embarazo ectópico cervical, diagnosticados en el Servicio de Urgencia de la Maternidad del Hospital Padre Hurtado, ambos casos correspondían a gestaciones menores a siete semanas; diagnóstico efectuado por ecografía transvaginal. Ambos casos se trataron inicialmente en forma médica, presentando genitorragia importante durante la evolución. Para el control del sangrado se efectuó cerclaje cervical tipo McDonald. Las pacientes evolucionaron favorablemente sin requerir otro tipo de cirugía. Estos casos sugieren que el cerclaje cervical es una excelente alternativa en pacientes con embarazos ectópicos cervicales, conservando el potencial reproductivo de las pacientes. PALABRAS CLAVES: Embarazo cervical, cerclaje cervical SUMMARYWe describe the cervical cerclage as an alternative of conservative treatment in the cervical ectopic pregnancy. Two cases of cervical ectopic pregnancy are described. Both cases corresponded to gestations smaller than seven weeks, diagnosis was done by means of transvaginal ultrasound. The cases were initially treated medically, but both patients presented severe bleeding during their evolution and cervical cerclage (McDonald type) was used for their control, evolving in favourable way without requiring another type of surgery. According to ours results the cervical cerclage can be considered an excellent choice in patients with cervical ectopic pregnancy, conserving the female reproductive potential. KEY WORDS: Cervical pregnancy, cervical cerclageCasos Clínicos tamiento precoz (3). La hemorragia masiva tiene una frecuencia cercana al 30% (4), potencialmente mortal, y requiere para su tratamiento procedimientos quirúrgicos de emergencia. Entre estos procedimientos podemos mencionar la histerectomía, el legrado cervical con taponamiento, el legrado cervical y prostaglandinas locales, la resección histeroscópica, las ligaduras vasculares, la embolización arterial, y el cerclaje cervical (5, 6, 7).El objetivo de esta comunicación es presentar INTRODUCCIÓNEl embarazo cervical (EC) corresponde a un inhabitual y peligroso tipo de embarazo ectópico. La incidencia es de 1 caso cada 1.000 a 18.000 gestaciones (1). El diagnóstico tardío retrasa el inicio del tratamiento, representa un riesgo vital y tiene entre los tratamientos tradicionales a la histerectomía (2). La mortalidad materna por embarazo ectópico cervical se ha reducido en los últimos años (0,6-1%) gracias al diagnóstico y tra-

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Simultaneous intrauterine and cervical pregnancies after in vitro fertilization and embryo transfer in a patient with a history of a previous cervical pregnancy. Case report

Cited by 27 publications

References 6 publications

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

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

Treatment of heterotopic cervical pregnancies

Embarazo Ectópico Cervical: Diagnóstico Y Tratamiento Conservador Con Cerclaje Cervical

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