Fertility and Sterility
Volume 90, Issue 5 , Pages 2011.e1-2011.e4 , November 2008

Cervical ectopic pregnancy on the portio: conservative case management and clinical review

  • Bernhard Kraemer, M.D.

      Affiliations

    • University Hospital for Women, Tuebingen, Germany
    • Corresponding Author InformationReprint requests: Bernhard Kraemer, M.D., University Hospital for Women, Calwerstrasse 7, D-72076 Tuebingen, Germany (FAX: +49 (0)7071 295381).
    • ,
  • Harald Abele, M.D.

      Affiliations

    • University Hospital for Women, Tuebingen, Germany
    • ,
  • Markus Hahn, M.D.

      Affiliations

    • University Hospital for Women, Tuebingen, Germany
    • ,
  • Diethelm Wallwiener, M.D.

      Affiliations

    • University Hospital for Women, Tuebingen, Germany
    • ,
  • Taufiek K. Rajab, M.D.

      Affiliations

    • Central Middlesex Hospital, Imperial College, London, United Kingdom
    • ,
  • Rene Hornung, M.D., M.B.A.

      Affiliations

    • University Hospital for Women, Tuebingen, Germany

Received 5 May 2008 ,Accepted 6 June 2008.

References 

  1. Marcovici I, Rosenzweigb BA, Brill AI, Khan M, Scommegna A. Cervical pregnancy. Obstet Gynecol Surv. 1994;49:49–55
  2. Ozawa N, Takamatsu K, Fujii E, Saito H. Pregnancy implanted in the fibromuscular layer of the cervix: a case report. J Reprod Med. 2006;51:325–328
  3. Cupr Z, Pospisil J, Milicková E. Ectopic pregnancy on the vaginal part of the uterus. Zentralbl Gynakol. 1973;28(95):1385–1387
  4. Spitzer D, Steiner H, Graf A, Zajc M, Staudach A. Conservative treatment of cervical pregnancy by curettage and local prostaglandin injection. Hum Reprod. 1997;12:860–866
  5. Fylstra DL, Coffey MD. Treatment of cervical pregnancy with cerclage, curettage and balloon tamponade. J Reprod Med. 2001;46:71–74
  6. Benson CB, Doubilet PM. Strategies for conservative treatment of cervical ectopic pregnancy. Ultrasound Obstet Gynecol. 1996;8:371–372
  7. Ushakov FB, Elchalal U, Aceman PJ, Schenker JG. Cervical pregnancy: past and future. Obstet Gynecol Surv. 1997;52:45–59
  8. Burg E. Ueber die zervikale Schwangerschaft. Zentralbl Gynaekol. 1958;80:852–854
  9. Conner E. Cited in LeCocq F. Discussion of iliac artery ligation in cervical pregnancy. Am J Obstet Gynecol. 1979;134:149
  10. Farghaly SA, Mathie JG. Cervical pregnancy managed by local excision. Postgrad Med J. 1980;56:789
  11. Cosin JA, Bean M, Grow D, Wiczyk H. The use of methotrexate and arterial embolization to avoid surgery in a case of cervical pregnancy. Fertil Steril. 1997;67:1169–1171
  12. Monteagudo A, Tarricone N, Timor-Tritsch I, Lenner J. Successful transvaginal ultrasound–guided puncture and injection of a cervical pregnancy in a patient with simultaneous intrauterine pregnancy and history of a previous cervical pregnancy. Ultrasound Obstet Gynecol. 1996;8:381–386
  13. Trambert JJ, Einstein MH, Banks E, Frost A, Goldberg GL. Uterine artery embolization in the management of vaginal bleeding from cervical pregnancy: a case series. J Reprod Med. 2005;50:844–850
  14. Takano M, Hasegawa Y, Matsuda H, Kikuchi Y. Successful management of cervical pregnancy by selective uterine artery embolization: a case report. J Reprod Med. 2004;49:986–988
  15. 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
  16. Kirk E, Condous G, Haider Z, Syed A, Ojha K, Bourne T. The conservative management of cervical ectopic pregnancies. Ultrasound Obstet Gynecol. 2006;27:430–437
  17. Hung TH, Shau WY, Hsieh TT, Hsu JJ, Soong YK, Jeng CJ. Prognostic factors for an unsatisfactory primary methotrexate treatment of cervical pregnancy: a quantitative review. Hum Reprod. 1998;13(9):2636–2642
  18. Vela G, Tulandi T. Cervical pregnancy: the importance of early diagnosis and treatment. J Minim Invasive Gynecol. 2007;14:481–484

 B.K. has nothing to disclose. H.A. has nothing to disclose. M.H. has nothing to disclose.

 D.W. has nothing to disclose. T.R. has nothing to disclose. R.H. has nothing to disclose.

PII: S0015-0282(08)01308-3

doi: 10.1016/j.fertnstert.2008.06.018

Fertility and Sterility
Volume 90, Issue 5 , Pages 2011.e1-2011.e4 , November 2008

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