Combined treatment with temporary intraoperative balloon occlusion of common iliac arteries and hysteroscopic endocervical resection with postoperative cervical balloon for intractable cervical pregnancy in an infertile woman.
OBJECTIVE
To describe treatment of an intractable cervical pregnancy that failed intracervical Foley catheter tamponade and uterine artery embolization followed by curettage of gestational tissue.


METHODS
Case report.


METHODS
Tertiary-care university hospital.


METHODS
A 37-year-old infertile woman who achieved an 8-week cervical pregnancy after IVF-ET.


METHODS
Temporary intraoperative balloon occlusion of bilateral common iliac arteries in combination with hysteroscopic endocervical resection of the gestational tissue, followed by postoperative intracervical balloon compression for 3 days.


METHODS
Serial serum beta-hCG concentrations.


RESULTS
Complete removal of gestational products with preservation of fertility.


CONCLUSIONS
Temporary balloon occlusion of bilateral common iliac arteries in combination with hysteroscopic endocervical resection of cervical pregnancy was effective in the treatment of intractable cervical pregnancy and preserved the woman's future fertility.
Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Jehn-Hsiahn
JH
Yang
Jin-Chung
JC
Shih
Kao-Lang
KL
Liu
Yu-Shih
YS
Yang
D000328:Adult; D021721:Balloon Occlusion / Q000379:methods*; D002584:Cervix Uteri; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007083:Iliac Artery / Q000473:pathology; D007247:Infertility, Female / Q000175:diagnosis / Q000628:therapy*; D011182:Postoperative Care / Q000379:methods; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000628:therapy*