title: Conservative treatment by angiographic artery embolization of an 11-week cervical pregnancy after a period of heavy bleeding.
abstract: OBJECTIVE
  To describe a rare case of conservative treatment of an 11-week cervical pregnancy after a period of heavy bleeding.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A university hospital.
  
  
  METHODS
  A 33-year-old woman was admitted to our hospital for treatment of a cervical pregnancy. Two-and-a-half years thereafter, she gave birth to a healthy baby by vaginal delivery at 38 weeks of gestation.
  
  
  METHODS
  Systemic methotrexate treatment, ligation of descending branches of uterine arteries, cervical cerclage, and unilateral internal iliac artery embolization.
  
  
  METHODS
  Transvaginal ultrasound, magnetic resonance imaging, and arteriography findings.
  
  
  RESULTS
  The patient was successfully treated with unilateral internal iliac artery embolization on the same side as the pregnancy in the 11th gestational week.
  
  
  CONCLUSIONS
  After failed methotrexate and vessel ligation in cervical pregnancy, unilateral internal iliac artery embolization is an effective and conservative treatment that allows preservation of reproduction potential.
authors.affiliation: Department of Obstetrics and Gynecology, Nagoya City University Medical School, Nagoya, Japan. og.n.suz@med.nagoya-u.ac.jp
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Suzumori
authors.forename: Kinue
authors.initials: K
authors.lastname: Katano
authors.forename: Takeshi
authors.initials: T
authors.lastname: Sato
authors.forename: Junko
authors.initials: J
authors.lastname: Okada
authors.forename: Tamao
authors.initials: T
authors.lastname: Nakanishi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Muto
authors.forename: Yoshikatsu
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Katsuo
authors.initials: K
authors.lastname: Ikuta
authors.forename: Kaoru
authors.initials: K
authors.lastname: Suzumori
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D000328:Adult; D000792:Angiography; D001158:Arteries; D023802:Cerclage, Cervical; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007083:Iliac Artery; D008026:Ligation; D008279:Magnetic Resonance Imaging; D008595:Menorrhagia / Q000209:etiology* / Q000628:therapy*; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy; D019233:Retreatment; D017211:Treatment Failure; D014463:Ultrasonography; D014599:Uterus / Q000098:blood supply*
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate