[Cervical pregnancy: conservative treatment with primary embolization of the uterine arteries. A case report. Review of the literature].
Ectopic pregnancies are rarely located in the cervix. In most (50-70%) of the cases, haemostatic hysterectomy is usually performed. We attempted an original approach for ectopic pregnancies located in the cervix which allowed preservation of the uterus. The uterine arteries are embolized before evacuation of the pregnancy and haemostasis of the loge with a balloon probe. In the literature, the incidence has been reported at 1 cases/20,000 births. Past history of curetage is a favouring factor. Echography facilitates diagnosis. When possible, conservative treatment may involve surgery (arterial ligature, endocervical haemostasis), drug therapy (methotrexate) and radiography (arterial embolization).
Lambert
P
P
Service de Gynécologie-Obstétrique, Hôpital Saint-Antoine, Paris.
Marpeau
L
L
Jannet
D
D
Jault
T
T
Truchet
F
F
Safar
E
E
Rotenberg
L
L
Pathier
D
D
Milliez
J
J
D000328:Adult; D001158:Arteries; D002584:Cervix Uteri; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000628:therapy*; D011379:Prognosis; D014463:Ultrasonography; D014599:Uterus / Q000098:blood supply*
Grossesse cervicale: traitement conservateur avec embolisation première des pédicules utérins. A propos d'un cas. Revue de la littérature.