Conservative management of second-trimester cervical ectopic pregnancy with placenta percreta.
OBJECTIVE
To report successful conservative management of advanced cervical ectopic pregnancy with placenta percreta.


METHODS
Case report.


METHODS
University tertiary care hospital.


METHODS
A 37-year-old woman with second-trimester cervical ectopic pregnancy and placenta percreta.


METHODS
Ultrasound-guided injection of potassium chloride into the fetal heart followed by multiple systemic methotrexate injections, removal of fetal bones, cervical cerclage suture, and Foley catheter placement for control of hemorrhage.


METHODS
Low maternal morbidity and successful conservative management with preservation of fertility.


RESULTS
The cervical ectopic pregnancy was treated successfully without significant morbidity; the uterus was preserved, and the woman was delivered of a full-term live fetus in the next pregnancy.


CONCLUSIONS
Advanced cervical ectopic pregnancy with placenta percreta is associated with high morbidity with surgical intervention. Conservative management with attendant low morbidity and uterus preservation is possible in advanced cervical ectopic pregnancy.
Verma
Usha
U
Miller School of Medicine, University of Miami, Miami, Florida 33136, USA. uverma@med.miami.edu
Maggiorotto
Furio
F
D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage; D000032:Abortion, Therapeutic; D000328:Adult; D023802:Cerclage, Cervical; D002584:Cervix Uteri; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use; D010921:Placenta Accreta / Q000628:therapy*; D011189:Potassium Chloride / Q000008:administration & dosage; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000628:therapy*; D014463:Ultrasonography
D000020:Abortifacient Agents, Nonsteroidal; D011189:Potassium Chloride; D008727:Methotrexate