The use of methotrexate and arterial embolization to avoid surgery in a case of cervical pregnancy.
OBJECTIVE
To describe the management of a case of cervical ectopic pregnancy (EP) DESIGN: Case report.


METHODS
University-affiliated teaching hospital.


METHODS
A 26-year-old woman, gravida 4, para 0-1-2-0 with the diagnosis of a cervical EP.


METHODS
Systemic methotrexate (MTX) and arterial embolization.


RESULTS
A cervical EP was diagnosed by ultrasonography. The patient was treated with systemic MTX. Vaginal bleeding began 4 days later and was treated with arterial embolization, thus eliminating the need for surgical intervention. The pregnancy resolved and the patient has resumed normal menstruation and again is attempting pregnancy.


CONCLUSIONS
Arterial embolization can be used to avoid surgical intervention in cases of cervical EP in which hemorrhage occurs after treatment with chemotherapy.
Cosin
J A
JA
Department of Obstetrics and Gynecology, Baystate Medical Center, Springfield, Massachusetts 01199, USA.
Bean
M
M
Grow
D
D
Wiczyk
H
H
D000019:Abortifacient Agents; D000032:Abortion, Therapeutic; D000328:Adult; D001158:Arteries; D002584:Cervix Uteri; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008598:Menstruation; D008727:Methotrexate; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000628:therapy*; D014463:Ultrasonography
D000019:Abortifacient Agents; D008727:Methotrexate