Conservative treatment of advanced cervical pregnancy.

Park, Sung Chul; Park, Yoon Ki

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(4):689-693.
Published online April 1, 2007.

Conservative treatment of advanced cervical pregnancy.

Sung Chul Park, Yoon Ki Park

Department of Obstetrics and Gyneclogy, College of Medicine, Yeungnam University, Daegu, Korea. yoonki@med.yu.ac.kr

Abstract

Cervical pregnancy is an uncommon life threatening form of ectopic pregnancy. It is associated with the unexpected occurrence of uncontrollable hemorrhage from the cervix. This condition is usually treated with hysterectomy. And thus the patient loses her fertility potential. To avoid hysterectomy and to maintain fertility, several conservative methods of termination have been used. We report a case of cervical pregnancy treated conservatively without hysterectomy. Hemorrhage from the implantation site was controlled with an inflated Foley catheter balloon positioned within the cervical canal. Foley catheter ballooning after endocervical suction curettage seems to be a simple and effective treatment of cervical pregnancy as conservative treatment to maintain fertility.

Key Words: Cervical pregnancy, Suction curettage, Foley catheter