Cervical Ectopic Pregnancy, a Case Report and Literature Review
Autor: | Joe Feghali, Daisy Massoud, Rita Sleiman, Amine Geahchan, Bahige Arida, Ali Abdallah, Rawad Halimeh |
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Rok vydání: | 2020 |
Předmět: |
Infertility
Pregnancy medicine.medical_specialty Hysterectomy Ectopic pregnancy business.industry Obstetrics media_common.quotation_subject Incidence (epidemiology) medicine.medical_treatment Cervical pregnancy Fertility medicine.disease medicine.anatomical_structure medicine business Cervix media_common |
Zdroj: | Journal of Gynecology and Obstetrics. 8:85 |
ISSN: | 2376-7812 |
DOI: | 10.11648/j.jgo.20200804.13 |
Popis: | Cervical ectopic pregnancies (CEP) are rare, comprising less than 1% of ectopic pregnancies with an incidence of one in 2500 to one in 18000, and 1 to 2.0% of all pregnancies. Due to the rich cervical vascularity and the incompatibility of the cervix to hold an advancing pregnancy, there is a marked increase in the potential of hemorrhage leading to mortality, morbidity, and infertility experienced by the implicated women. There is a divergence of preferences among health care providers for CEP management which ranges from non-surgical methods to hysterectomy. However, a timely diagnosis increases the likelihood of implementing more conservative methods and retaining patients’ fertility. New improvements in high-resolution ultrasonography made earlier diagnosis possible, which lead to the development of many conservative treatment approaches that avoid the need for a hysterectomy and preserve fertility. A high index of suspicion, combined with a detailed review of clinical and radiological findings, is essential to make an accurate diagnosis of cervical pregnancy. Our case presents early diagnosis made of a cervical ectopic pregnancy treated medically with the avoidance of surgical intervention and its associated risks. Early diagnosis is essential as it decreases the risks of future infertility and decreases the risk of fatal complications associated with such pregnancies. |
Databáze: | OpenAIRE |
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