Conservative treatment by angiographic artery embolization of an 11-week cervical pregnancy after a period of heavy bleeding.
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.
Suzumori
Nobuhiro
N
Department of Obstetrics and Gynecology, Nagoya City University Medical School, Nagoya, Japan. og.n.suz@med.nagoya-u.ac.jp
Katano
Kinue
K
Sato
Takeshi
T
Okada
Junko
J
Nakanishi
Tamao
T
Muto
Daisuke
D
Suzuki
Yoshikatsu
Y
Ikuta
Katsuo
K
Suzumori
Kaoru
K
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*
D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate