Cervical pregnancy--a conservative stepwise approach.
A case of cervical pregnancy resistant to intramuscular methotrexate therapy is presented, which was successfully treated by intra-arterial methotrexate followed by selective prophylactic hypogastric artery embolization to avoid aggravating the vaginal bleeding. It is suggested that, in cervical pregnancies in which fertility preservation is desired, a stepwise conservative approach should be applied before resorting to surgical intervention.
Yitzhak
M
M
Department of Obstetrics and Gynecology, Rabin Medical Center, Petah Tiqva, Israel.
Orvieto
R
R
Nitke
S
S
Neuman-Levin
M
M
Ben-Rafael
Z
Z
Schoenfeld
A
A
D000328:Adult; D002584:Cervix Uteri; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D004351:Drug Resistance; D004621:Embolization, Therapeutic; D005260:Female; D005263:Femoral Artery; D006470:Hemorrhage / Q000517:prevention & control; D006801:Humans; D007083:Iliac Artery; D007261:Infusions, Intra-Arterial; D008727:Methotrexate / Q000008:administration & dosage / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000628:therapy*; D002577:Uterine Cervical Diseases / Q000517:prevention & control
D018997:Chorionic Gonadotropin, beta Subunit, Human; D008727:Methotrexate