Treatment of cervical pregnancy with cerclage, curettage and balloon tamponade. A report of three cases.
BACKGROUND
Cervical pregnancy is a rare form of ectopic pregnancy, historically requiring hysterectomy to control life-threatening hemorrhage. However, with early diagnosis, conservative procedures can preserve the uterus and fertility.


METHODS
Three cases of cervical pregnancy were treated successfully with curettage. Two cases utilizing precurettage and postcurettage hemostatic techniques were treated with curettage alone. A third case, not employing precurettage hemostatic maneuvers, required uterine artery embolization to control bleeding and avoid hysterectomy.


CONCLUSIONS
Curettage alone, when preceded by cervical infiltration with a vasoconstricting agent, placement of a cerclage suture high on the cervix and followed by cervical canal tamponade with a Foley catheter balloon, can successfully treat early cervical pregnancy.
Fylstra
D L
DL
Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, USA. fylstrad@musc.edu
Coffey
M D
MD
D000328:Adult; D021721:Balloon Occlusion; D002404:Catheterization; D002584:Cervix Uteri / Q000601:surgery*; D006063:Chorionic Gonadotropin / Q000097:blood; D003475:Curettage; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D013537:Sutures; D014463:Ultrasonography
D006063:Chorionic Gonadotropin