Suggested Method for the Management of Heterotopic Cervical Pregnancy Leading to Term Delivery of the Intrauterine Pregnancy: Case Report and Literature Review
| Autor: | Nikolaos Tsagias, Elias Tsakos, Konstantinos Dafopoulos |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Cervical pregnancy Foley catheter Cervix Uteri Fertilization in Vitro Pregnancy medicine Humans Cervical cerclage Term delivery Pregnancy Heterotopic Cerclage Cervical Ultrasonography Heterotopic pregnancy In vitro fertilisation Sutures business.industry Obstetrics Cesarean Section Infant Newborn Pregnancy Outcome Obstetrics and Gynecology medicine.disease Surgery Premature ovarian failure Pregnancy Ectopic Female business |
| Zdroj: | Journal of minimally invasive gynecology. 22(5) |
| ISSN: | 1553-4669 |
| Popis: | This is a case report and literature review regarding early diagnosis and management of a cervical heterotopic pregnancy. A 41-year-old gravida 2 para 0 with premature ovarian failure was treated successfully in an in vitro fertilization program with donor oocytes. A transvaginal ultrasound scan revealed the presence of a heterotopic pregnancy, with an intrauterine embryo and an intracervical embryo. Both embryos had positive heartbeats. Aspiration of the cervical pregnancy was followed by Foley catheter placement and cervical cerclage suturing. Monitoring of the patient resulted in elective uncomplicated cesarean section delivery at 38 weeks following an uneventful pregnancy. Given the lack of guidelines for the management of heterotopic cervical pregnancy, we reviewed the literature suggesting the most effective method. The value of early diagnosis and management is concluded from the literature, in support of our management principles. |
| Databáze: | OpenAIRE |
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