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Obstetrics & Gynecology 2007;109:505-507
© 2007 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Treatment of Early Cervical Pregnancy With Cerclage, Carboprost, Curettage, and Balloon Tamponade

Guillermo A. De La Vega, MD1, Caudrean Avery, MD1, Richard Nemiroff, MD1 and Dominic Marchiano, MD1

From the 1Department of Obstetrics and Gynecology, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, Pennsylvania.

BACKGROUND: Cervical pregnancy, an uncommon variety of ectopic gestation is associated with high morbidity and adverse consequences for future fertility. Currently there are no specific recommendations for the best treatment of this entity.

CASE: A 35-year-old nullipara presented with 8 weeks of amenorrhea and painless brown discharge. The patient was diagnosed with cervical pregnancy with embryonic cardiac activity. A conservative surgical treatment under general anesthesia involved intracervical infiltration of carboprost, cerclage, suction curettage of cervix, and Foley balloon tamponade was performed. The Foley was removed on day 2 and the cerclage on day 7.

CONCLUSION: Early cervical pregnancy was treated with combined cervical cerclage, intracervical infiltration of carboprost, curettage, and balloon tamponade. Severe hemorrhage during suction curettage and the adverse effects and complications of systemic methotrexate treatment were avoided.




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Y. Nakao, M. Yokoyama, and T. Iwasaka
Uterine Artery Embolization Followed by Dilation and Curettage for Cervical Pregnancy
Obstet. Gynecol., February 1, 2008; 111(2): 505 - 507.
[Abstract] [Full Text] [PDF]


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