Treatment of heterotopic cervical pregnancy after in vitro fertilization-embryo transfer by using transvaginal ultrasound-guided aspiration and instillation of hypertonic solution of sodium chloride.
OBJECTIVE
To report a case of successful treatment of heterotopic cervical pregnancy resulting from IVF-embryo transfer.


METHODS
Case report.


METHODS
Tertiary university clinical center.


METHODS
A 31-year-old patient, treated for heterotopic cervical pregnancy, diagnosed in the 6th gestational week.


METHODS
Transvaginal ultrasound-guided aspiration of cervical pregnancy and instillation of hypertonic solution of sodium chloride, upon ligation of descending cervical branches of the uterine arteries.


METHODS
Patient recovery and further maintenance of intrauterine twin pregnancy.


RESULTS
The cervical pregnancy was successfully aborted, and the intrauterine twin pregnancy was successfully maintained.


CONCLUSIONS
The intervention applied may be used in treatment of heterotopic cervical pregnancy.
Prorocic
Milenko
M
Clinic of Gynecology and Obstetrics Narodni Front, Belgrade Medical School, Belgrade, Serbia and Montenegro. nvas@eunet.yu
Vasiljevic
Mladenko
M
D000032:Abortion, Therapeutic / Q000379:methods; D000328:Adult; D001158:Arteries; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D004624:Embryo Transfer / Q000009:adverse effects; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects; D006801:Humans; D008026:Ligation; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D011272:Pregnancy, Multiple; D012462:Saline Solution, Hypertonic / Q000627:therapeutic use*; D014427:Twins; D014463:Ultrasonography; D014599:Uterus / Q000098:blood supply
D012462:Saline Solution, Hypertonic