Successful transvaginal ultrasound-guided puncture and injection of a cervical pregnancy in a patient with simultaneous intrauterine pregnancy and a history of a previous cervical pregnancy.
Cervical pregnancy is a rare type of ectopic pregnancy. A recurrent cervical pregnancy in conjunction with a viable intrauterine pregnancy is an even rarer event. We present a case in which a recurrent cervical pregnancy was treated by selective reduction using an injection of potassium chloride guided by transvaginal sonography. The intrauterine gestation was delivered at a gestation of 34 weeks and 4 days by Cesarean section. Subsequently, the patient was treated with intramuscular methotrexate with a prolonged, but complete, resolution of the cervical pregnancy.
Monteagudo
A
A
Department of Obstetrics and Gynecology, Columbia Presbyterian Medical Center, Sloane Hospital for Women, New York 10032, USA.
Tarricone
N J
NJ
Timor-Tritsch
I E
IE
Lerner
J P
JP
D000029:Abortion, Legal; D000328:Adult; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007267:Injections; D008727:Methotrexate / Q000008:administration & dosage / Q000627:therapeutic use; D011189:Potassium Chloride / Q000008:administration & dosage / Q000627:therapeutic use; D011247:Pregnancy; D011256:Pregnancy Outcome; D018607:Pregnancy Reduction, Multifetal / Q000379:methods*; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000188:drug therapy*; D011677:Punctures; D012008:Recurrence; D014427:Twins; D018615:Ultrasonography, Doppler, Color; D016216:Ultrasonography, Prenatal; D014621:Vagina / Q000000981:diagnostic imaging
D011189:Potassium Chloride; D008727:Methotrexate