Indian Journal of Obstetrics and Gynecology Research
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN: 2394-2746
Online ISSN: 2394-2754
CODEN : IJOGCS
Indian Journal of Obstetrics and Gynecology Research (IJOGR) open access, peer-reviewed quarterly journal publishing since 2014 and is published under auspices of the Innovative Education and Scientific Research Foundation (IESRF), aim to uplift researchers, scholars, academicians, and professionals in all academic and scientific disciplines. IESRF is dedicated to the transfer of technology and research by publishing scientific journals, research content, providing professional’s membership, and conducting conferences, seminars, and award more...Case Report
Author Details :
Volume : 9, Issue : 1, Year : 2022
Article Page : 118-120
https://doi.org/10.18231/j.ijogr.2022.023
Abstract
Case: A 31-year female, G4P2L2A1 with two previous cesarean deliveries and one dilatation and curettage, was diagnosed with cervical ectopic pregnancy of 8 weeks and two days without any cardiac activity. She had a complaint of slight pain in the abdomen without any bleeding per vagina. She was initially managed with multi-dose systemic methotrexate therapy. The value of beta-HCG decreased by about 70%. She then underwent bilateral uterine artery embolization followed by ultrasound-guided suction evacuation with descending cervical artery ligation with cervical balloon tamponade. The patient was asymptomatic throughout her hospital stay. Her beta-HCG value dropped to 10 IU/ml and usg showed empty endocervical canal on weekly follow-up.
Conclusion: Conservation methods like systemic methotrexate or potassium chloride, along with minimally invasive techniques like bilateral uterine artery embolization, are among the most effective and safe fertility-sparing modalities in managing cervical ectopic pregnancy. Proper case selection and availability of required infrastructure at tertiary care centers are mandatory.
Keywords: Cervical ectopic pregnancy, Systemic methotrexate, Balloon tamponade, Bilateral uterine artery embolization.
How to cite : Gupta P, Chawla I, Kumari K, Cervical ectopic pregnancySuccessful management by combined systemic methotrexate, bilateral uterine embolization and suction evacuation. Indian J Obstet Gynecol Res 2022;9(1):118-120
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