Combined medical-hysteroscopic conservative treatment of a viable cervical pregnancy: A case report.
Cervical pregnancy (CP) is an uncommon ectopic pregnancy that accounts for approximately less than 1% of extrauterine gestations. This case report describes a case of a viable ectopic CP successfully treated with systemic methotrexate therapy combined with hysteroscopic local endocervical resection of the heterotopic gestational sac. This approach, if validated, could be considered the treatment of choice to preserve the uterus in these young patients.
Matteo
Maria
M
Operative Unit of Obstetrics and Gynecology, Department of Surgical Sciences, University of Foggia, Foggia, Italy. m.matteo@unifg.it
Nappi
Luigi
L
Rosenberg
Piergiorgio
P
Greco
Pantaleo
P
D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage / Q000627:therapeutic use*; D000328:Adult; D002584:Cervix Uteri; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007273:Injections, Intramuscular; D008727:Methotrexate / Q000008:administration & dosage / Q000627:therapeutic use*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000000981:diagnostic imaging / Q000628:therapy*; D016216:Ultrasonography, Prenatal
D000020:Abortifacient Agents, Nonsteroidal; D018997:Chorionic Gonadotropin, beta Subunit, Human; D008727:Methotrexate