Consecutive cervical pregnancies.
OBJECTIVE
Report of a rare case of consecutive spontaneous cervical pregnancies.


METHODS
Case study.


METHODS
Teaching hospital.


METHODS
One healthy nulliparous woman in the early years of her fourth decade.


METHODS
The first of two cervical pregnancies was treated with two doses of methotrexate and subsequent uterine artery embolization. The second was treated with methotrexate, intracervical Foley catheter placement, hysteroscopic ablation of the bleeding cervical bed, and replacement of the Foley catheter with gradual deflation of balloon.


METHODS
Recognition and successful treatment of cervical ectopic pregnancy.


RESULTS
Each of the two cervical pregnancies was successfully treated. The patient subsequently carried a spontaneous intrauterine pregnancy to term.


CONCLUSIONS
A comprehensive MEDLINE search revealed that this appears to be the first reported case of recurrent spontaneous cervical pregnancies, and only the second known case of recurrent cervical pregnancy. Cervical pregnancies have generally been treated with hysterectomy because of the potential for massive hemorrhage. However, current treatment options permit effective conservative management in women who desire continued fertility. This case illustrates various treatment options, under different circumstances, in the same individual.
Radpour
Christopher J
CJ
Department of Obstetrics and Gynecology, University of Tennessee Medical Center, Knoxville, Tennessee, USA. cradpour@galenmedical.com
Keenan
Jeffrey A
JA
D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D000328:Adult; D002584:Cervix Uteri; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006470:Hemorrhage / Q000601:surgery; D006801:Humans; D015907:Hysteroscopy / Q000379:methods; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000628:therapy*
D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate