title: Inevitable hysterectomy despite conservative surgical management in advanced cervical pregnancy: a case report.
abstract: A 35-year-old woman was diagnosed to have cervical pregnancy of 10.2 weeks duration. Methotrexate therapy was not chosen due to the presence of active tuberculosis. Since the patient had gradually increasing vaginal hemorrhage, she was taken to the operating room. A dilatation and curettage could not control the hemorrhage. A laparotomy was performed and the uterine arteries were ligated. A cervical hysterotomy was also performed to evacuate the products of conception. There was active bleeding in the cervix although no products of conception were observed. Two purse string sutures were placed, but the persistence of profuse bleeding despite these measures necessitated total hysterectomy.
authors.affiliation: Department of Obstetrics, Zübeyde Hanim Maternity Hospital, Ankara, Turkey. zstuncer@hacettepe.edu.tr
authors.forename: R
authors.initials: R
authors.lastname: Tuncer
authors.forename: D
authors.initials: D
authors.lastname: Uygur
authors.forename: S
authors.initials: S
authors.lastname: Kis
authors.forename: S
authors.initials: S
authors.lastname: Kayin
authors.forename: I
authors.initials: I
authors.lastname: Bebitoglu
authors.forename: S
authors.initials: S
authors.lastname: Erkaya
mesh_terms: D000328:Adult; D001158:Arteries / Q000601:surgery; D002584:Cervix Uteri; D004107:Dilatation and Curettage; D005260:Female; D005865:Gestational Age; D006801:Humans; D007044:Hysterectomy; D008026:Ligation; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014376:Tuberculosis / Q000150:complications; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000601:surgery; D014599:Uterus / Q000098:blood supply