Successful management of cervical ectopic pregnancy with embryo reduction: report of three cases
Autor: | Esther López-Bayghen, Nicolas Kameyama, Jean Paul Sulaiman, Ginna Ortiz |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Pregnancy
Fetus medicine.medical_specialty In vitro fertilisation Ectopic pregnancy AcademicSubjects/MED00910 Obstetrics business.industry medicine.drug_class medicine.medical_treatment media_common.quotation_subject Gestational sac Fertility medicine.disease jscrep/060 medicine.anatomical_structure embryonic structures medicine Surgery Methotrexate Case Series Gonadotropin business medicine.drug media_common |
Zdroj: | Journal of Surgical Case Reports |
ISSN: | 2042-8812 |
Popis: | If methotrexate (MTX) fails to resolve cervical ectopic pregnancies (CEP), the remaining surgical options result in the potential loss of the patient’s fertility. Therefore, we examined if the embryo reduction technique can resolve the CEP without any complications while conserving the patient’s fertility. We report three cases in which CEP didn’t respond to MTX but was successfully solved by embryo reduction. Each patient underwent a standard in vitro fertilization (IVF) protocol. Once CEP was confirmed, the pregnancy’s location, the fetus’s size and gestational sac and heartbeat were determined. Afterward, embryo reduction was performed under general anesthesia (operative time: ~30 min). All patients had successful procedures without any postoperative complications. Since the procedure, one woman was pregnant and delivered, the second has registered a positive β-human chorionic gonadotropin test and the last is waiting for IVF preparation. In summary, embryo reduction is a feasible approach in the management of CEP with favorable fertility outcomes. |
Databáze: | OpenAIRE |
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