[Cervical pregnancy. A gynecologic-obstetric emergency situation].
The cervical pregnancy is defined as the implantation of the blastocyst into the cervical canal. The characteristic clinical sign is a severe asymptomatic uterine bleeding in early pregnancy or during curettage. Prior to 1978, correct preoperative diagnosis was rare and in almost all cases a hysterectomy was performed. Today, transvaginal sonography allows early diagnosis, and conservative treatment (two-time treatment: first treatment with systemic or intraamniotic methotrexate, secondly with curettage or ligature of the uterine arteries) improves the prospects of fertility.
Pastorelli
G
G
Departement für Frauenheilkunde, Universitätsspital Zürich, Schweiz.
Steiner
R
R
Haller
U
U
D000028:Abortion, Induced; D000328:Adult; D001158:Arteries / Q000601:surgery; D003937:Diagnosis, Differential; D004107:Dilatation and Curettage; D004630:Emergencies; D019160:Endosonography; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000628:therapy; D011379:Prognosis; D016216:Ultrasonography, Prenatal; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology; D014599:Uterus / Q000098:blood supply
Die Zervikalschwangerschaft. Eine gynäkologisch-geburtshilfliche Notfallsituation.