Fertility and Sterility
Volume 91, Issue 3 , Pages 671-674 , March 2009

Conservative management of cervical ectopic pregnancy

  • Usha Verma, M.D.

      Affiliations

    • Department of Obstetrics and Gynecology, Miller School of Medicine, University of Miami, Miami, Florida
    • Corresponding Author InformationReprint requests: Usha Verma, M.D., Department of Obstetrics and Gynecology (D-50), Miller School of Medicine, University of Miami, P.O. Box 016960, Miami, FL 33101 (FAX: 305-325-1469).
  • ,
  • Nima Goharkhay, M.D.

      Affiliations

    • The University of Texas Medical Branch, Galveston, Texas

Received 3 October 2007 ,Revised 6 December 2007 ,Accepted 19 December 2007.

References 

  1. Kumar S, Vimalam N, Dadhwal V, Mittal S. Heterotopic cervical and intrauterine pregnancy in a spontaneous cycle. Eur J Obstet Gynecol Reprod Biol. 2004;112:217–220
  2. Weyerman PC, Verhoeven AT, Alberda AT. Cervical pregnancy after in vitro fertilization and embryo transfer. Am J Obstet Gynecol. 1989;161:1145–1146
  3. Raskin MM. Diagnosis of cervical pregnancy by ultrasound: a case report. Am J Obstet Gynecol. 1978;130:234–235
  4. Timor-Tritsch IE, Monteagudo A, Mandeville EO, Peisner DB, Anaya GP, Pirrone EC. Successful management of viable cervical pregnancy by local injection of methotrexate guided by transvaginal ultrasonography. Am J Obstet Gynecol. 1994;170:737–739
  5. Hung TH, Jeng CJ, Yang YC, Wang KG, Lan CC. Treatment of cervical pregnancy with methotrexate. Int J Obstet Gynecol. 1996;53:243–247
  6. Monteagudo A, Minior VK, Stephenson C, Monda S, Timor-Tritsch IE. Non-surgical management of live ectopic pregnancy with ultrasound-guided local injection: a case series. Ultrasound Obstet Gynecol. 2005;25:282–288
  7. Garaham D, Quaye M. Interventional ultrasound in gynecology. In:  Rock JA,  Thompson JD editor. Te Linde's operative gynecology. 8th ed.. Philadelphia: Lipponcott Raven; 1997;p. 115–126
  8. Yitzhak M, Orvieto R, Nitke S, Neuman-Levin M, Ben-Rafael Z, Schoenfeld A. Case report: cervical pregnancy—a conservative stepwise approach. Hum Reprod. 1999;14:847–849
  9. Chen D, Kligman I, Rosenwaks Z. Heterotopic cervical pregnancy successfully treated with transvaginal ultrasound guided aspiration and cervical stay sutures. Fertil Steril. 2001;75:1030–1033
  10. Nappi C, D'Elia A, Di Carlo C, Giordano E, De Placido G. Conservative treatment by angiographic uterine artery embolization of a 12-week cervical ectopic pregnancy. Hum Reprod. 1999;14:1118–1121
  11. De La Vega GA, Avery C, Nemiroff R, Marchiano D. Treatment of early cervical pregnancy with cerclage, carboprost, curettage, and balloon tamponade. Obstet Gynecol. 2007;109:505–507
  12. Verma U, Maggiorotto F. Conservative management of second-trimester cervical ectopic pregnancy with placenta percreta. Fertil Steril. 2007;697:e13–e16
  13. Jeng CJ, Ko ML, Shen J. Transvaginal ultrasound-guided treatment of cervical pregnancy. Obstet Gynecol. 2007;109:1076–1082

 U.V. is on the speaker's bureau for Wyeth. N.G. has nothing to disclose.

PII: S0015-0282(07)04334-8

doi: 10.1016/j.fertnstert.2007.12.054

Fertility and Sterility
Volume 91, Issue 3 , Pages 671-674 , March 2009