Successful conservative management of a large 12-week-old cervical ectopic pregnancy in a nulliparous woman: a case report.

Autor: Annan JJK; Department of Obstetrics and Gynecology, School of Medicine and Dentistry, Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Ansah-Asamoah S; Directorate of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana., Agyei BA; Directorate of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.; Department of Medical Diagnostics (Medical Imaging Unit), Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Quarshie EL; Directorate of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana., Ankobea F; Department of Obstetrics and Gynecology, School of Medicine and Dentistry, Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Vanderpuye S; Directorate of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana., Oteng C; Directorate of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana., Ninimiya SY; Directorate of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana., Abaidoo NEA; Directorate of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2023 Jun 26; Vol. 45, pp. 107. Date of Electronic Publication: 2023 Jun 26 (Print Publication: 2023).
DOI: 10.11604/pamj.2023.45.107.35701
Abstrakt: Cervical ectopic pregnancy (CEP) accounts for less than 0.1% of all ectopic pregnancies. CEP is associated with high morbidity and mortality potential due to the associated life-threatening hemorrhage. When it is large, detected late, and occurs in a nulliparous woman, management is more challenging as it requires the need to preserve the uterus. We present a case of a 33-year-old nulliparous woman with a large live cervical ectopic pregnancy at 12 weeks + 1 day gestation and a very high serum β-HCG of 126,750 Miu/ml. She was successfully managed with suction curettage and cervical encerclage tamponade in order to preserve the uterus. The treatment was associated with significant hemorrhage and a prolonged period of follow-up. In low-resource settings, uterine-conserving management of CEP can be challenging, and curettage with cervical encerclage tamponade can be a cost-effective treatment modality even though it is associated with significant haemorrhage and prolonged treatment period.
Competing Interests: The authors declare no competing interests.
(Copyright: John Jude Kweku Annan et al.)
Databáze: MEDLINE
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