Cervical Shirodkar cerclage may be the treatment modality of choice for cervical pregnancy.
BACKGROUND
Our objective was to evaluate the use of cervical suture in cervical pregnancy.


RESULTS
All cases of cervical pregnancy diagnosed and treated in the gynaecological department at the Sheba Medical Center between 1994-2000 were included in the study. Eight such cases were diagnosed. The first four cases were treated medically. The last four cases (the study group) of cervical pregnancy, including one case of heterotopic pregnancy, were treated successfully with placement of Shirodkar cerclage.


CONCLUSIONS
Cervical cerclage may be considered as the treatment of choice in cases of cervical pregnancies. It may be the only therapy in cases of heterotopic pregnancies (intrauterine and cervical pregnancy).
Mashiach
Shlomo
S
Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Israel.
Admon
Dahlia
D
Oelsner
Gabriel
G
Paz
Baram
B
Achiron
R
R
Zalel
Yaron
Y
D000020:Abortifacient Agents, Nonsteroidal / Q000009:adverse effects*; D000328:Adult; D023802:Cerclage, Cervical; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000009:adverse effects; D008875:Middle Aged; D011247:Pregnancy; D011256:Pregnancy Outcome; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000601:surgery
D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate