title: Fertility preservation in heterotopic cervical pregnancy: what is the best procedure?
abstract: We describe a patient who underwent assisted reproduction techniques and was diagnosed with heterotopic cervical pregnancy, and then discuss the management of this entity, which is rare and has no standard protocols. Treatment consisted of intra-arterial methotrexate (50 mg/m(2) body surface area) and simultaneous selective embolization of uterine arteries. The literature is also reviewed to identify other approaches and outcomes.
authors.affiliation: Obstetrics and Gynecology, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain. marisasanchezf@yahoo.es
authors.forename: María Luisa
authors.initials: ML
authors.lastname: Sánchez-Ferrer
authors.forename: Francisco
authors.initials: F
authors.lastname: Machado-Linde
authors.forename: Miriam
authors.initials: M
authors.lastname: Pertegal-Ruiz
authors.forename: Francisco
authors.initials: F
authors.lastname: García-Sánchez
authors.forename: Antonio
authors.initials: A
authors.lastname: Pérez-Carrión
authors.forename: Antonio
authors.initials: A
authors.lastname: Capel-Aleman
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Parilla-Paricio
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Abad-Martínez
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D005260:Female; D059247:Fertility Preservation / Q000379:methods*; D005307:Fertilization in Vitro; D006801:Humans; D008727:Methotrexate / Q000008:administration & dosage / Q000627:therapeutic use; D008796:Metrorrhagia / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D012307:Risk Factors; D012907:Smoking; D014463:Ultrasonography; D055357:Uterine Artery Embolization
chemical_list: D008727:Methotrexate