Skip to main content Skip to main navigation menu Skip to site footer
  • Register
  • Login
  • Menu
  • Home
  • Current
  • Archives
  • Announcements
  • About
    • About the Journal
    • Submissions
    • Editorial Team
    • Privacy Statement
    • Contact
  • Register
  • Login

Journal of Education, Health and Sport

Conservatively treated, live, 12-week cervical pregnancy – case report
  • Home
  • /
  • Conservatively treated, live, 12-week cervical pregnancy – case report
  1. Home /
  2. Archives /
  3. Vol. 12 No. 12 (2022) /
  4. Case Reports

Conservatively treated, live, 12-week cervical pregnancy – case report

Authors

  • Jakub Mlodawski Collegium Medicum, Jan Kochanowski University in Kielce
  • Anna Chabik "Eskulap" Student's Scientific Society, Jan Kochanowski University in Kielce
  • Maciej Albrzykowski "Eskulap" Student's Scientific Society, Jan Kochanowski University in Kielce
  • Marta Mlodawska Jan Kochanowski University in Kielce, Collegium Medicum
  • Grzegorz Swiercz Jan Kochanowski University in Kielce, Collegium Medicum

DOI:

https://doi.org/10.12775/JEHS.2022.12.12.047

Keywords

cervical pregnancy, ectopic pregnancy, methotrexate, arterial embolisation

Abstract

Cervical pregnancy is one of the rarest forms of ectopic pregnancy. Due to the low prevalence of this pregnancy complications, the management of this complication is not standardized. In this work, we describe conservative management of a 12-week cervical pregnancy. Descriptions of the cases of such a large pregnancy treated conservatively are scarce. In order to protect the fertility of the patient, most of the described conservative procedures available in the literature were applied, such as: the administration of a 15% solution of KCl into the gestational sac, administration of methotrexate into the gestational sac and intramuscularly, as well as embolization of the uterine arteries with cervical canal curettage. After 5 weeks of observation and applied treatment, the patient was discharged home with a preserved uterus.

References

Maglic R Rakic A, Nikolic B, Maglic D, Jokanovic P, Mihajlovic S. Management of Cervical Ectopic Pregnancy with Small-Caliber Hysteroscopy. JSLS. 2021 Apr-Jun;25(2):e2021.00016. doi: 10.4293/JSLS.2021.00016. PMID: 34248344; PMCID: PMC8249221.

—. Management of Cervical Ectopic Pregnancy with Small-Caliber Hysteroscopy. JSLS. 2021 Apr-Jun;25(2):e2021.00016. doi: 10.4293/JSLS.2021.00016. PMID: 34248344; PMCID: PMC8249221.

Coulter-Nile S Balachandar K, Ward H. A diagnostic dilemma of an 18-week cervical ectopic pregnancy: A case report. Case Rep Womens Health. 2022 Jan 13;33:e00385. doi: 10.1016/j.crwh.2022.e00385. PMID: 35198413; PMCID: PMC8841278.

Khatib Y Khashikar A, Wani R, Patel RD. Cervical ectopic pregnancy: a case report of missed diadiagnosis. Med J dy Patil Univ 2016; 9: 741-743.

Saeng-anan U Sreshthaputra O, Sukpan K, Tongsong T. Cervical pregnancy with massive bleeding after treatment with methotrexate. . BMJ Case Rep. 2013 Aug 8;2013:bcr2013200440. doi: 10.1136/bcr-2013-200440. PMID: 23929636; PMCID: PMC3762407.

Tariq A O'Rourke M, Carstens SJ, Totten VY. Intra-abdominal Rupture of a Live Cervical Pregnancy with Placenta Accreta but Without Vaginal Bleeding. Intra-abdominal Rupture of a Live Cervical Pregnancy with Placenta Accreta but Without Vaginal Bleeding. Clin Pract Cases Emerg Med. 2018 Mar 14;2(2):116-120. doi: 10.5811/cpcem.2017.10.32029. PMID: 29849260; PMID: 29849260; PMCID: PMC5965107.

Halim B Lubis HP. Bilateral hydronephrosis and hydroureter associated with 21-22 weeks gestational age of cervical ectopic pregnancy: a case report. . Int Med Case Rep J. 2019 Jul 11;12:217-222. doi: 10.2147/IMCRJ.S199683. PMID: 31372062; PMCID: PMC6630720.

YanKui Wang MD i inni. An efficient conservative treatment modality for cervical pregnancy: angiographic uterine artery embolization followed by immediate curettage. American Journal of Obstetrics & Gynecology. 204:31.e1-7, 2011, 204:31.e1-7.

Hu J Tao X, Yin L, Shi Y. Successful conservative treatment of cervical pregnancy with uterine artery embolization followed by curettage: a report of 19 cases. BJOG. 2016 Sep;123 Suppl 3:97-102. doi: 10.1111/1471-0528.14005. PMID: 27627607.

Schivardi G Angileri SA, Esposito G, Di Meglio L, Brusati V, Ierardi AM, Carrafiello G, Marconi AM. Successful Transvaginal Microwave Ablation of a Heterotopic Cervical Pregnancy. A Case Report. Reprod Sci. 2021 Jan;28(1):27-30. doi: 10.1007/s43032-020-0.

Tanos V ElAkhras S, Kaya B. Hysteroscopic management of cervical pregnancy: Case series and review of the literature. . J Gynecol Obstet Hum Reprod. 2019 Apr;48(4):247-253. doi: 10.1016/j.jogoh.2018.05.001. Epub 2018 May 3. PMID: 29730079.

Zhang G Li J, Tang J, Zhang L, Wang D, Sun Z. Role of collateral embolization in addition to uterine artery embolization followed by hysteroscopic curettage for the management of cesarean scar pregnancy. . BMC Pregnancy Childbirth. 2019 Dec 16;19(1):502. doi: 10.1186/s12884-019-2590-2. PMID: 31842804; PMCID: PMC6915915.

Cervical pregnancy managed by placement of a Shirodkar cerclage before evacuation: a case report. J Reprod Med. 1989 Mar;34(3):69-70. PMID: 2724243.

Hafner T Ivkosic IE, Serman A, Bauman R, Ujevic B, Vujisic S, Hafner D, Miskovic B. Modification of conservative treatment of heterotopic cervical pregnancy by Foley catheter balloon fixation with cerclage sutures at the level of the external cervical os a case report. . J Med Case Rep. 2010 Jul 16;4:212. doi: 10.1186/1752-1947-4-212. PMID: 20637109; PMCID: PMC2911469.

Halim B Lubis HP. Bilateral hydronephrosis and hydroureter associated with 21-22 weeks gestational age of cervical ectopic pregnancy: a case report. . Int Med Case Rep J. 2019 Jul 11;12:217-222. doi: 10.2147/IMCRJ.S199683. PMID: 31372062; PMCID: PMC6630720.

Polak G Stachowicz N, Morawska D, Kotarski J. Treatment of cervical pregnancy with systemic methotrexate and KCl solution injection into the gestational sac – case report and review of literature. Ginekol Pol. 2011 May;82(5):386-9. Polish. PMID: 21851040.

Lobel SM Meyerovitz MF, Benson CC, Goff B, Bengtson JM. Preoperative angiographic uterine artery embolization in the management of cervical pregnancy. . Obstet Gynecol 1990; 76: 938-941.

Keung JJ Spies JB, Caridi TM. Uterine artery embolization: A review of current concepts. . Best Pract Res Clin Obstet Gynaecol. 2018 Jan;46:66-73. doi: 10.1016/j.bpobgyn.2017.09.003. Epub 2017 Sep 29. PMID: 29128204.

Chen YT Chen YC, Chen M, Chang YJ, Yang SH, Tsai HD, Wu CH. Reproductive outcomes of cesarean scar pregnancies treated with uterine artery embolization combined with curettage. Taiwan J Obstet Gynecol. 2022 Jul;61(4):601-605. doi: 10.1016/j.tjog.2021.08.

Serres-Cousine O Kuijper FM, Curis E, Atashroo D. Clinical investigation of fertility after uterine artery embolization. Am J Obstet Gynecol. 2021 Oct;225(4):403.e1-403.e22. doi: 10.1016/j.ajog.2021.05.033. Epub 2021 May 29. PMID: 34058169.

H.M. Youssef M. Emam, A. Zayed,. Conservative management of 14weeks cervical ectopic pregnancy: Case report. Middle East Fertility Society Journal Volume 21, Issue 4, 2016, Pages 281-284,ISSN 1110-5690, https://doi.org/10.1016/j.mefs.2016.05.004.

Handley KF Bergeron LM, Biggio JR Jr. Conservative Management of a Second-Trimester Cervical Ectopic Pregnancy. . Ochsner J. 2020 Winter;20(4):459-462. doi: 10.31486/toj.20.0034. PMID: 33408588; PMCID: PMC7755558.

Kadija S Stefanovic A, Jeremic K, Radojevic M, Cerovic-Popovic R, Srbinovic M, Likic-Ladjevic I. Successful conservative treatment of a cervical ectopic pregnancy at 13 weeks. . Clin Exp Obstet Gynecol. 2016;43(2):291-3. PMID: 27132433.

Downloads

  • PDF

Published

2022-12-21

How to Cite

1.
MLODAWSKI, Jakub, CHABIK, Anna, ALBRZYKOWSKI, Maciej, MLODAWSKA, Marta & SWIERCZ, Grzegorz. Conservatively treated, live, 12-week cervical pregnancy – case report. Journal of Education, Health and Sport [online]. 21 December 2022, T. 12, nr 12, s. 311–316. [accessed 31.3.2023]. DOI 10.12775/JEHS.2022.12.12.047.
  • PN-ISO 690 (Polish)
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
Download Citation
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

Issue

Vol. 12 No. 12 (2022)

Section

Case Reports

License

Copyright (c) 2022 Jakub Mlodawski, Anna Chabik, Maciej Albrzykowski, Marta Mlodawska, Grzegorz Swiercz

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

Stats

Number of views and downloads: 69
Number of citations: 0

Search

Search

Browse

  • Browse Author Index
  • Issue archive

User

User

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo

Information

  • For Readers
  • For Authors
  • For Librarians

Newsletter

Subscribe Unsubscribe

Tags

Search using one of provided tags:

cervical pregnancy, ectopic pregnancy, methotrexate, arterial embolisation
Up

Akademicka Platforma Czasopism

Najlepsze czasopisma naukowe i akademickie w jednym miejscu

apcz.umk.pl

Partners

  • Akademia Ignatianum w Krakowie
  • Akademickie Towarzystwo Andragogiczne
  • Fundacja Copernicus na rzecz Rozwoju Badań Naukowych
  • Instytut Historii im. Tadeusza Manteuffla Polskiej Akademii Nauk
  • Instytut Kultur Śródziemnomorskich i Orientalnych PAN
  • Karmelitański Instytut Duchowości w Krakowie
  • Państwowa Akademia Nauk Stosowanych w Krośnie
  • Państwowa Akademia Nauk Stosowanych we Włocławku
  • Państwowa Wyższa Szkoła Zawodowa im. Stanisława Pigonia w Krośnie
  • Polskie Towarzystwo Ekonomiczne
  • Polskie Towarzystwo Ludoznawcze
  • Towarzystwo Miłośników Torunia
  • Towarzystwo Naukowe w Toruniu
  • Uniwersytet im. Adama Mickiewicza w Poznaniu
  • Uniwersytet Mikołaja Kopernika
  • Uniwersytet w Białymstoku
  • Uniwersytet Warszawski
  • Wojewódzka Biblioteka Publiczna - Książnica Kopernikańska
  • Wyższe Seminarium Duchowne w Pelplinie / Wydawnictwo Diecezjalne „Bernardinum" w Pelplinie

© 2021- Nicolaus Copernicus University Accessibility statement Shop