Angiographic uterine artery embolization followed by immediate curettage: an efficient treatment for controlling heavy bleeding and avoiding recurrent bleeding in cervical pregnancy.
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.
Xu
Bing
B
Department of Obstetrics and Gynecology, The Affiliated Hospital of Medical College, Qingdao University, Qingdao, China. qdxubing@yahoo.com
Wang
Yan-Kui
YK
Zhang
Yong-Hua
YH
Wang
Song
S
Yang
Ling
L
Dai
Shu-Zhen
SZ
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*
D018997:Chorionic Gonadotropin, beta Subunit, Human