Cervical pregnancy following in vitro fertilization: evacuation after uterine artery embolization with subsequent successful intrauterine pregnancy.
A case is described in which a cervical pregnancy followed in vitro fertilization. Treatment was delayed at the request of the patient until the second trimester, and was successfully managed by preoperative bilateral angiographic uterine artery occlusion, surgical evacuation, and postoperative balloon tamponade. Subsequent embryo transfer of previously cryopreserved embryos resulted in a normal intrauterine pregnancy and delivery without complications. This case highlights the need for awareness of cervical pregnancy following in vitro fertilization and the success of management which preserves fertility.
Department of Obstetrics and Gynecology, Foothills Hospital, Calgary, Alberta, Canada.
H A
HA
Pattinson
B C
BC
Dunphy
S
S
Wood
J
J
Saliken
D000328:Adult; D001158:Arteries; D021721:Balloon Occlusion; D002404:Catheterization; D002584:Cervix Uteri; D004621:Embolization, Therapeutic; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000628:therapy*; D014599:Uterus / Q000098:blood supply*