title: Combined intrauterine and twin cervical pregnancy managed by a new conservative modality.
abstract: OBJECTIVE
  To describe a rare case of a heterotopic pregnancy with two gestational sacs in the cervix and one in the uterine cavity.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Tertiary university hospital.
  
  
  METHODS
  A 45-year-old woman was diagnosed with a triplet gestation 7 weeks following IVF treatment for primary infertility of 5 years' duration. Transvaginal ultrasound scan revealed three gestational sacs: one sac inside the uterine cavity containing a live fetus, and two sacs in the uterine cervix, one containing a live fetus and a second empty sac.
  
  
  METHODS
  Pregnancy termination was performed by selective intraarterial catheterization of the uterine artery, intraarterial administration of methotrexate, and uterine artery embolization with Gelfoam.
  
  
  METHODS
  Intra- or postprocedural complications and fertility preservation.
  
  
  RESULTS
  The pregnancy termination was successfully performed without intra- or postprocedural complications, with preservation of the patient's fertility.
  
  
  CONCLUSIONS
  Intraarterial methotrexate with uterine vessel embolization is an effective conservative approach to heterotopic cervical pregnancy.
authors.affiliation: The Helen Schneider Comprehensive Women's Health Center, Rabin Medical Center, Petach Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Shmuel
authors.initials: S
authors.lastname: Nitke
authors.forename: Eran
authors.initials: E
authors.lastname: Horowitz
authors.forename: Jacob
authors.initials: J
authors.lastname: Farhi
authors.forename: Haim
authors.initials: H
authors.lastname: Krissi
authors.forename: Josef
authors.initials: J
authors.lastname: Shalev
mesh_terms: D000028:Abortion, Induced / Q000379:methods; D002584:Cervix Uteri; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000628:therapy*; D011272:Pregnancy, Multiple; D014599:Uterus / Q000098:blood supply