title: Delayed spontaneous expulsion of a cervical ectopic pregnancy: a case report.
abstract: Cervical ectopic pregnancy is an uncommon event. Modern diagnostic and treatment options provide an opportunity for conservative treatment of this condition. A case of a profuse hemorrhage associated with delayed spontaneous expulsion of a cervical ectopic pregnancy is described, and the management is discussed. In this patient, the cervical ectopic pregnancy was treated successfully using systemic methotrexate and selective uterine artery embolization. The patient returned 1 week later with spontaneous expulsion of the ectopic pregnancy associated with profuse hemorrhage. The bleeding subsided following tamponade using a transcervical Foley catheter. We conclude that conservative treatment of cervical ectopic pregnancy is feasible, with careful posttreatment surveillance.
authors.affiliation: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas 77030, USA. jonivar@yahoo.com
authors.forename: Jon Ivar
authors.initials: JI
authors.lastname: Einarsson
authors.forename: Stephanie
authors.initials: S
authors.lastname: Michel
authors.forename: Amy E
authors.initials: AE
authors.lastname: Young
mesh_terms: D000328:Adult; D002404:Catheterization / Q000379:methods; D002584:Cervix Uteri; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000628:therapy*; D018570:Risk Assessment; D016216:Ultrasonography, Prenatal; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000209:etiology
chemical_list: D008727:Methotrexate