title: Cervical Shirodkar cerclage may be the treatment modality of choice for cervical pregnancy.
abstract: 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).
authors.affiliation: Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Israel.
authors.forename: Shlomo
authors.initials: S
authors.lastname: Mashiach
authors.forename: Dahlia
authors.initials: D
authors.lastname: Admon
authors.forename: Gabriel
authors.initials: G
authors.lastname: Oelsner
authors.forename: Baram
authors.initials: B
authors.lastname: Paz
authors.forename: R
authors.initials: R
authors.lastname: Achiron
authors.forename: Yaron
authors.initials: Y
authors.lastname: Zalel
mesh_terms: 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
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate