Transvaginal ligation of the cervical branches of the uterine artery and injection of vasopressin in a cervical pregnancy as an initial step to controlling hemorrhage: a case report.
BACKGROUND
Hemorrhage from a cervical pregnancy is a time-sensitive matter. Effective temporization measures for the initial management of this hemorrhage have not previously been reported in the literature.


METHODS
A 43-year-old woman, gravida 0, underwent in vitro fertilization and embryo transfer. She subsequently presented to the office with sudden onset of vaginal hemorrhage due to a cervical pregnancy. Cervical artery sutures were placed, and a cervical vasoconstricting agent was injected, at which point the patient's bleeding stopped. She then underwent successful treatment with dilation and curettage.


CONCLUSIONS
Conservative measures to manage hemorrhage due to cervical pregnancy can be initiated, with possible rapid establishment of hemostasis until definitive treatment can be achieved.
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Stanford University Medical Center, Palo Alto, California 94304, USA.
Lynn Bentley
LB
Davis
Ruth B
RB
Lathi
Amin A
AA
Milki
Michael H
MH
Dahan
D000328:Adult; D002584:Cervix Uteri / Q000098:blood supply*; D005260:Female; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D007267:Injections; D008026:Ligation / Q000379:methods; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000628:therapy*; D013536:Suture Techniques; D014592:Uterine Hemorrhage / Q000209:etiology / Q000628:therapy*; D014667:Vasopressins / Q000008:administration & dosage*
D006490:Hemostatics; D014667:Vasopressins