title: Angiographic uterine artery embolization followed by immediate curettage: an efficient treatment for controlling heavy bleeding and avoiding recurrent bleeding in cervical pregnancy.
abstract: Two cases of cervical pregnancy with heavy bleeding successfully treated by uterine artery embolization (UAE) followed by immediate curettage are described in this report. Case 1 demonstrated intermittent bleeding after serious bleeding was successfully controlled by UAE. Serum beta human chorionic gonadotropin (beta-hCG) level rose remarkably after a short time decline. Transvaginal sonography consistently revealed a heterogeneous mass in the cervix. Repeated UAE followed by immediate curettage was performed and complete resolution was achieved. Case 2 was also successfully managed by UAE followed by immediate curettage after failure of medical treatment. This report suggests that UAE followed by immediate curettage is a safe and efficient procedure for controlling heavy bleeding and avoiding recurrent bleeding when fertility capacity is desired in cases of cervical pregnancy with fetal cardiac activity and high beta-hCG concentration.
authors: Department of Obstetrics and Gynecology, The Affiliated Hospital of Medical College, Qingdao University, Qingdao, China. qdxubing@yahoo.com
authors: Bing
authors: B
authors: Xu
authors: Yan-Kui
authors: YK
authors: Wang
authors: Yong-Hua
authors: YH
authors: Zhang
authors: Song
authors: S
authors: Wang
authors: Ling
authors: L
authors: Yang
authors: Shu-Zhen
authors: SZ
authors: Dai
mesh_terms: D000328:Adult; D000792:Angiography; D002584:Cervix Uteri; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D004107:Dilatation and Curettage; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy*; D014599:Uterus / Q000098:blood supply*
chemical_list: D018997:Chorionic Gonadotropin, beta Subunit, Human