Successful management of cervical pregnancy with medical intervention only: a case report.
BACKGROUND
Cervical pregnancies are a rare form of ectopic pregnancy. They frequently present with hemorrhage and require hysterectomy to control bleeding. Their incidence may be higher with in vitro fertilization than previously considered. Since future fertility is desired in these patients, conservative management is frequently attempted. Increased early surveillance leads to earlier diagnosis and intervention. Most case reports to date indicated treating with either medical and surgical intervention or surgical intervention.


METHODS
A 36-year-old woman presented with recurrent pregnancy loss and tubal disease. In vitro fertilization was recommended. Embryo transfer resulted in a cervical pregnancy. She experienced painless vaginal bleeding shortly after her positive pregnancy test. A cervical pregnancy was diagnosed by early ultrasound. The patient underwent successful medical management and complete resolution with methotrexate alone.


CONCLUSIONS
Cervical pregnancy, when diagnosed early, can be successfully treated with medical therapy.
Emmi
Adelina M
AM
Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta 30912-3360, USA. aemmi@mcg.edu
Devoe
Lawrence D
LD
Chudgar
Daksha B
DB
Holsten
Erin
E
Layman
Lawrence C
LC
D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000328:Adult; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D004624:Embryo Transfer / Q000009:adverse effects; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000008:administration & dosage*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000209:etiology; D016896:Treatment Outcome; D014463:Ultrasonography
D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate