title: Cervical pregnancy: assessment with three-dimensional power Doppler imaging and successful management with selective uterine artery embolization.
abstract: Cervical pregnancy is frequently associated with extensive hemorrhage which, in severe cases, may be stopped only by hysterectomy. We report a case of an anembryonic cervical pregnancy diagnosed at 10 weeks, and associated with a large arteriovenous malformation. The patient was conservatively managed with simple selective uterine artery embolization. After embolization, her vaginal bleeding ceased and the level of serum beta-human chorionic gonadotropin decreased rapidly. No additional treatment was given. The patient's postoperative course was uneventful and the cervical mass had disappeared at the follow-up 4 months later. To the best of our knowledge, this is the first report of conservative management of cervical pregnancy simply by uterine artery embolization. The role of three-dimensional power Doppler ultrasonography in the assessment of cervical pregnancy and in monitoring the therapeutic response is discussed.
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Y N
authors.initials: YN
authors.lastname: Su
authors.forename: J C
authors.initials: JC
authors.lastname: Shih
authors.forename: W H
authors.initials: WH
authors.lastname: Chiu
authors.forename: C N
authors.initials: CN
authors.lastname: Lee
authors.forename: W F
authors.initials: WF
authors.lastname: Cheng
authors.forename: F J
authors.initials: FJ
authors.lastname: Hsieh
mesh_terms: D000328:Adult; D001158:Arteries; D001165:Arteriovenous Malformations / Q000150:complications / Q000628:therapy; D002584:Cervix Uteri / Q000098:blood supply; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D018615:Ultrasonography, Doppler, Color / Q000379:methods*; D014592:Uterine Hemorrhage / Q000209:etiology / Q000517:prevention & control; D014599:Uterus / Q000098:blood supply*