Retracted: Effect of Uterine Arterial Chemoembolization Combined with Ultrasound-Guided Uterine Curettage on CervicalPregnancy and Influencing Factors. [This retracts the article DOI: 10.1155/2021/4609497.].
(1.2×1.2×1.1 cm, yolk sac visible). The pregnant woman and her partner strongly urged the removal of the cervicalgestational sac and continuing the intrauterine pregnancy to term. After the Institutional Review Board (IRB) approval was obtained, hysteroscopic surgery with bipolar resectoscope and transabdominal ultrasound guidance was used to resect the heterotopic cervicalpregnancy while Hysteroscopic removal of a heterotopic cervicalpregnancy to preserve a patient's intrauterine sac. To introduce a case of removing the heterotopic cervicalpregnancy while preserving the normal gestational sac in the uterine cavity by hysteroscopic surgery under ultrasound guidance. Video description of the case and surgical procedure. Hospital affiliated to university. A 35-year-old woman
Maternal Morbidity After Double Balloon Catheter Management of Cesarean Scar and CervicalPregnancies. We performed a retrospective cohort study of all Type 1 cesarean scar pregnancies (n=18) or cervicalpregnancies (n=5) at an academic tertiary center after treatment with a cervical double balloon catheter from 2018 to 2022 to evaluate outcomes and maternal morbidity. Cervical double balloon
Intra-abdominal Rupture of a Live CervicalPregnancy with Placenta Accreta but Without Vaginal Bleeding We describe an unusual ruptured ectopic pregnancy. The unique features of the case include abdominal pain without vaginal bleeding; cervical implantation and a placenta accreta; and the late presentation at 16 weeks of gestation without prior symptoms. Both the initial point-of-care ultrasound
Case of heterotopic cervicalpregnancy and total placenta accreta after artificial cycle frozenâ€thawed embryo transfer A 39-year-old woman presented with a genital hemorrhage at 5 weeks of gestation after an artificial cycle double frozen-thawed embryo transfer. She was diagnosed with a cervical heterotopic pregnancy. Although hormone supplementation was discontinued to terminate the pregnancy at 5 weeks of gestation, the intrauterine and cervicalgestational sacs continued to develop. The cervicalgestational sac was surgically removed and the intrauterine pregnancy continued uneventfully, except for vasa previa. At 36 weeks of gestation, the patient underwent a cesarean section and gave birth to a healthy female infant. At the delivery, massive bleeding occurred and a hysterectomy
CervicalPregnancy Masquerading as an Incomplete Abortion- A Learning Lesson Cervicalpregnancy is a rare site of ectopic pregnancy compared to tubal. The trophoblast implant into the cervical tissue and become a potentially dangerous site of torrential haemorrhage. The widespread use of Ultrasonography (USG) has led to a dramatic increase in the detection rates of extra uterine pregnancy. We turned as a major change in the diagnosis of the case as the serum beta hCG was elevated. On re-evaluation, we diagnosed it as a case of cervicalpregnancy which was successfully managed medically.
Combined Systemic and Hysteroscopic Intra-Amniotic Injection of Methotrexate Associated with Hysteroscopic Resection for CervicalPregnancy: A Cutting-Edge Approach for an Uncommon Condition This case report of a 36-year-old woman with a diagnosis of cervicalpregnancy describes a novel approach to this rare form of ectopic pregnancy, which was successfully treated with systemic and local methotrexate (MTX) therapy combined with hysteroscopic resection. After local and systemic administration of MTX, the patient underwent hysteroscopic resection of the cervicalpregnancy using a 27 bipolar resectoscope with a 4-mm loop. The cervicalpregnancy was completely treated, and satisfactory hemostasis was achieved with electrocoagulation. The reported case and literature review demonstrate
A new minimally invasive treatment for cesarean scar pregnancy and cervicalpregnancy. Cesarean scar pregnancy and cervicalpregnancy are unrelated forms of pathological pregnancies carrying significant diagnostic and treatment challenges, with a wide range of treatment effectiveness and complication rates ranging from 10% to 62%. At times, life-saving hysterectomy and uterine artery the placement of a cervical ripening double-balloon catheter as a novel, minimally invasive treatment in patients with cesarean scar and cervicalpregnancies to terminate the pregnancy and at the same time prevent bleeding by compressing the blood supply of the gestational sac. Patients with diagnosed, live cervicalpregnancy and cesarean scar pregnancy between 6 and 8 weeks' gestation were considered
Successful conservative treatment of cervicalpregnancy with uterine artery embolization followed by curettage: a report of 19 cases. The purpose of this retrospective study was to evaluate the safety and efficacy of uterine artery embolization (UAE) followed by curettage for conservative management of cervicalpregnancy. Retrospective review. Peking University First Hospital. Patients with cervicalpregnancy diagnosed by trans-vaginal ultrasound at Peking University First Hospital between January 2003 and December 2014. We retrospectively reviewed the clinical background and outcomes of patients with cervicalpregnancy who underwent UAE followed by curettage for prevention of massive vaginal bleeding and removal of gestational tissue from the cervix. We also reviewed the literature
The treatment of cervicalpregnancy with ultrasound-guided local methotrexate injection. Cervicalpregnancy (CP) is a rare type of ectopic pregnancy. While methotrexate (MTX) is generally the first-line method of choice for clinically stable women, there is still no consensus on the most appropriate treatment for this abnormal pregnancy. The aim of this study was to investigate the efficacy
Effective Management of Early CervicalPregnancy with Bilateral Uterine Artery Embolization Followed by Immediate Evacuation and Curettage: A Case Report
Conservative management of cervicalpregnancy with intramuscular administration of methotrexate and KCl injection: Case report and review of the literature We report the case of a cervicalpregnancy successfully treated with intramuscular injection of methotrexate (MTX) and intramniotic administration of potassium chloride. A 41-year-old woman was admitted to our Department with the suspicion of ectopic pregnancy. Transvaginal ultrasound revealed empty endometrial cavity, gestational sac within the cervical canal and embryonic echo measuring crown rump length 1.5 mm. Serum beta human chorionic gonadotropine (β-HCG) was measured 28590 IU/L. No cardiac activity was detected. The diagnosis of a cervicalpregnancy was made. Patient was treated with intramuscular administration of methotrexate (50
Cervicalpregnancy: 13 cases treated with suction curettage and balloon tamponade. With no single regimen recognized as the standard for the treatment of first trimester cervicalpregnancy, this report offers a successful treatment option with suction curettage and balloon tamponade. This is a retrospective review, with institutional review board approval, of 13 consecutive first trimester cervicalpregnancies, from 1995-2014, all treated with the same surgical technique by the author. Successful termination of thirteen consecutive first trimester cervicalpregnancies, all treated with the same surgical technique: suction curettage with cervical canal balloon tamponade. Cervicalpregnancy is the rarest of ectopic pregnancies. Before the now common use of early pregnancy transvaginal
The use of a Foley balloon catheter as an adjuvant therapy in preventing or managing bleeding during treatment for cesarean scar and cervicalpregnancies. To demonstrate the efficacy of placement and inflation of Foley balloon catheters prophylactically to prevent, or as an adjuvant therapy to control, bleeding in women undergoing treatment for Cesarean scar pregnancy (CSP) or cervicalpregnancy
ultrasound imaging, with the remaining 17 (15.4%) pregnancies incorrectly diagnosed as incomplete abortions or cervicalpregnancies.11 * Rotas M.A. * Haberman S. * Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management.Obstet Gynecol. 2006; 107: 1373-1381 * Crossref * PubMed * Scopus (472) * Google ScholarFigure 2Transvaginal 2-dimensional ultrasound image of a cesarean scar success rate (97.7%) with this technique.37 * Monteagudo A. * Calì G. * Rebarber A. * et al.Minimally invasive treatment of cesarean scar and cervicalpregnancies using a cervical ripening double balloon catheter: expanding the clinical series.J Ultrasound Med. 2019; 38: 785-793 * Crossref * PubMed * Scopus (9) * Google Scholar,38 * Timor-Tritsch I.E. * Monteagudo A. * Bennett T.A. * Foley C
and it is much harder to ascertain their link with the surgical scar site. In view of that these pregnancies should be classified as intramural pregnancies.Cervical pregnancyA cervicalpregnancy is implanted into the myometrium below the level of the internal os. The following ultrasound criteria could be used for diagnosis of cervical ectopic pregnancy: a gestational sac present below the level ectopic pregnancies should be described as partial or complete. Uterine ectopic pregnanciesAll uterine ectopic pregnancies are defined by evidence of trophoblast invasion beyond the endometrial–myometrial junction, but not outside the uterine visceral/broad ligament peritoneum. Depending on the previous history and location, this can be further specified to either a scar pregnancy, cervical
Intra-amniotic and systemic administration of methotrexate with concomitant surgical evacuation of 11 + 5 weeks cervical ectopic pregnancy: a case report. Cervicalpregnancy is a rare type of ectopic pregnancy. The management of cervicalpregnancy is challenging because of the rarity of the condition, late presentation, which is associated with increased risk of failed medical treatment cervicalpregnancy. The initial beta-human chorionic gonadotropins (ß-hCG) serum level was 108,730 IU/L. The patient received 60 mg of methotrexate intra-amniotically followed by another dose of 60 mg of methotrexate intramuscularly 24 h later. Fetal heartbeats stopped on day 03. On day 07, the ß-hCG was 37,397 IU/L. On day 13, the patient had evacuation of the remaining products of conception
. Jung SE, Byun JY, Lee JM, Choi BG, Hahn ST. Characteristic MR findings of cervicalpregnancy. J Magn Reson Imaging. 2001;13(6):918-922. 71. Peng KW, Lei Z, Xiao TH, et al. First trimester caesarean scar ectopic pregnancy evaluation using MRI. Clin Radiol. 2014;69(2):123-129. 72. American College of Radiology. Manual on Contrast Media. Available at: http://www.acr.org
of another ectopic pregnancy is about 10-20%.The chance of subsequent intrauterine pregnancy is about 64-76%[16, 17].Join our weekly wellness digestfrom the best health experts in the businessEnter your email Join nowBy clicking ‘Join now’ you agree to our Terms and conditions and Privacy policy.FURTHER READING AND REFERENCESStabile G, Mangino FP, Romano F, et al; Ectopic CervicalPregnancy: Treatment