scholarly journals Successful Management of Three Consecutive Cervical Pregnancy in the Same Patient- a Case Report

Author(s):  
Seema Chopra ◽  
Neha Agarwal ◽  
Neelam Aggarwal ◽  
Nayana Gaba

Abstract Ectopic cervical pregnancy is an infrequent complication of the early gestation. Despite tremendous development in the management of ectopic pregnancy, there still lies dilemma in the diagnosis and management of cervical ectopic pregnancy. Traditionally dilation and evacuation has been used in the successful management of these kind of ectopic gestation. In this case report we describe an uncommon case of recurrent ectopic pregnancy and subsequent management.

Author(s):  
Karthik Chandra Bassetty ◽  
Rina Dutta Ahmed ◽  
Mukesh Fogla

Cervical ectopic pregnancy is implantation of an embryo into the cervical mucosa below the level of the internal os. Cervical pregnancy is an infrequent form of ectopic gestation both in naturally conceived pregnancies and even after assisted reproductive technology (ART). It accounts for less than 1% of all ectopic pregnancies. The diagnosis can be missed as a case of incomplete abortion unless an experienced sonologist performs a transvaginal ultrasound. Management options vary and depend on the gestational age at diagnosis, general condition of the patient and woman’s desire to maintain fertility. Medical treatment with methotrexate is the therapy of choice in early gestation with hemodynamically stable patient. Surgical intervention is indicated in late gestation, unstable cases or failed medical treatment. At times hysterectomy is elected as the final path when bleeding does not subside. We present an unique case of twin cervical ectopic pregnancy managed initially conservatively later surgical management was undertaken in view of bleeding.


Author(s):  
Aarón Jiménez Valdez ◽  
Sara Elia Hernadez Flores ◽  
Jorge Arturo Barbabosa Vilchis ◽  
Claudia Meixueiro Calderon

Of ectopic pregnancies, cervical implantation pregnancy is an exceptional entity, corresponding to less than 1% of ectopic pregnancies. With an incidence calculated at 1: 2500 to 1: 12,000 pregnancies. The risk factors for cervical pregnancy are the same as for other ectopic pregnancies. This entity, a difference from tubaric pregnancy where bleeding is within the peritoneal cavity, the main risk is incoercible vaginal bleeding, which usually ends in a hysterectomy, which limits the reproductive future of patients. There are currently no established criteria for candidates for medical versus surgical treatment. This case reports a case of cervical ectopic pregnancy, treated with Methotrexate, and culminating with hysteroscopy resection.


Author(s):  
Robin Medhi ◽  
Jatinkumar Vishnubhai Patel ◽  
Asmita Mishra

Here we report a case of a cervical ectopic pregnancy presented with massive life threatening haemorrhage and its subsequent management. After an unsuccessful attempt to stop the bleeding with balloon catheter and vaginal tamponade, a total abdominal hysterectomy was performed, this is the procedure of choice for treatment of cervical pregnancy under conditions of urgency and life-threatening bleeding.


2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Mohammad R. Mohebbi ◽  
Kurt A. Rosenkrans ◽  
Eric E. Luebbert ◽  
Tauhni T. Hunt ◽  
Michael J. Jung

Cervical pregnancy is an extremely rare condition with potential grave consequences if not diagnosed and treated early enough. We present a case and an ultrasound image of early cervical ectopic pregnancy with a history of two previous cesarean sections who was successfully treated with suction curettage.


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