A Systematic Review about Cervical Pregnancy and our Experience

Autor: Konstantinos Nikolettos, Efthymios Oikonomou, Sonia Kotanidou, Nektaria Kritsotaki, Dimitrios Kyriakou, Panagiotis Tsikouras, Emmanouil Kontomanolis, Angeliki Gerede, Nikos Nikolettos
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Acta Medica Lituanica, Vol 31, Iss 1 (2024)
Druh dokumentu: article
ISSN: 1392-0138
2029-4174
DOI: 10.15388/Amed.2024.31.1.13
Popis: Background: Cervical ectopic pregnancy is a relatively rare type of ectopic pregnancy and has no standardized guidelines for management.Methods: This systematic review is based on the collection of case reports, published in PubMed/MEDLINE about the resolution of ectopic cervical pregnancies over the last decade and the presentation of a case managed in our healthcare unit. Studies involving cervical pregnancy in the first trimester with the presence of a viable embryo and β-hCG in the serum below 100.000 mIU/mL were included, while heterotopic pregnancies were excluded.Results: Nineteen articles reporting twenty-three case reports are demonstrated explicitly emphasizing on the management techniques. There is no established approach for the management of this type of ectopic pregnancy.Conclusion: It is important to consider the conservative approaches as first-line treatment in all cases of cervical pregnancy preserving fertility. Minimally invasive methods are also described and preferred as second-line treatment, as reported in our literature review.
Databáze: Directory of Open Access Journals