title: 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.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Columbia Presbyterian Medical Center, Sloane Hospital for Women, New York 10032, USA.
authors.forename: A
authors.initials: A
authors.lastname: Monteagudo
authors.forename: N J
authors.initials: NJ
authors.lastname: Tarricone
authors.forename: I E
authors.initials: IE
authors.lastname: Timor-Tritsch
authors.forename: J P
authors.initials: JP
authors.lastname: Lerner
mesh_terms: 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
chemical_list: D011189:Potassium Chloride; D008727:Methotrexate