Conservative treatment of a cervical twin pregnancy with uterine artery embolization.
Cervical pregnancy is a rare form of ectopic pregnancy. Its treatment has been described by different authors. We report our successful experience of a cervical twin pregnancy that was diagnosed by transabdominal and transvaginal ultrasound and confirmed by magnetic resonance imaging. To preserve fertility, our patient was treated by a bilateral hyperselective uterine artery embolization followed by dilatation and curettage of the cervical canal without ancillary procedures for cervical hemostasis. Arterial embolization by a resorbable agent reduces arterial circulation by providing a temporary occlusion of the vessels in order to decrease the risk of massive hemorrhage.
Department of Radiology, Mongi Slim Hospital, La Marsa, Tunisia. leila.benfarhat@rns.tn
Leila
L
Ben Farhat
Yosr
Y
Ben Salah
Anis
A
Askri
Nadida
N
Dali
Lotfi
L
Hendaoui
D000022:Abortion, Spontaneous / Q000000981:diagnostic imaging / Q000517:prevention & control; D000328:Adult; D000792:Angiography; D004617:Embolism / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography