Cervical pregnancy and therapeutic options.

Yeo, Jung Eun; Byun, Sang Kug; Choe, Hwa Young; Park, Jae Cheol; Shin, Jae Won; Jung, Eui Sik

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Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(1):148-152.
Published online January 1, 2003.

Cervical pregnancy and therapeutic options.

Jung Eun Yeo, Sang Kug Byun, Hwa Young Choe, Jae Cheol Park, Jae Won Shin, Eui Sik Jung

Department of Obstetrics and Gynecology, National Medical Center, Seoul, Korea.

Abstract

Of all forms of ectopic gestation, the possibility of fertility catastrophe is highest with a cervical pregnancy. Though rare, it is a potentially life-threatening condition. In the past it was diagnosed late, after there was profuse hemorrhage from the cervix and it usually required hysterectomy. With ultrasound, diagnosis can be made earlier and conservative management attempted in order to preserve the reproductive potential. Methotrexate has been used both systemically and intra-amniotically to treat cervical ectopic gestation conservatively.

Key Words: Cervical pregnancy, Methotrexate (MTX)

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