Cervical Ectopic Pregnancy With Massive Bleeding: A Case Report

Abstract

Introduction A 29-year-old patient with cervical ectopic pregnancy (CEP) presented as "suspected" cervical mass, and irregular vaginal bleeding was directed to a gynecologic oncologist for consultation. During the examination a massive bleeding occurred. After an unsuccessful attempt to stop the bleeding with a balloon catheter and vaginal tamponade, a total abdominal hysterectomy was performed. The predisposing factors, the differential diagnostic possibilities and the clinical approaches in CEP are discussed. Total abdominal hysterectomy is the procedure of choice for treatment of cervical pregnancy under conditions of urgency and life-threatening bleeding. KEYWORDS cervical ectopic pregnancy; massive bleeding, hysterectomy Recently the rate of cervical pregnancy has increased, which can be explained by the most frequent use of assisted reproductive techniques and transvaginal ultrasound examination [4, 5]. Despite the diagnostic possibilities of the contemporary

Embarazo en cicatriz de cesárea previa: ¿Es siempre quirúrgico? Reporte de un caso

“…Los factores predisponentes más discutidos son la migración acelerada del blastocisto a través de la cavidad uterina, las condiciones desfavorables para la implantación en el endometrio, el daño del canal cervical, endometrio a nivel de la cicatriz de cesárea previa que no cicla al unísono con el resto de endometrio de la cavidad uterina, entre otros factores (8,9) . El mecanismo más probable que puede explicar la implantación a nivel de la cicatriz es que existe invasión del miometrio a través del tracto microtubular entre la cicatriz de cesárea previa y el canal endometrial.…”

Cervical ectopic pregnancy: 10 year experience at tertiary care hospital and current literature review

“…Primary hysterectomy may still prove to be appropriate in settings of intractable haemorrhage, second or third-trimester diagnosis of cervical pregnancy and possibly to avoid emergency surgery in a woman who does not desire fertility. 23,50,52 The first two of our cases developed torrential bleeding which forced us to resort to hysterectomy as lifesaving measure.…”