Diabnosis of cervical pregnancy by ultrasound: A case report

Raskin, Michael M.

doi:10.1016/0002-9378(78)90377-0

Cited by 105 publications

(36 citation statements)

References 5 publications

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“…They account for less than 1% of all ectopic pregnancies, with a reported incidence of 1 in 1000-95 000 pregnancies 3 . The first report of a cervical ectopic pregnancy diagnosed using ultrasound was in 1978 4 .…”

Section: Introductionmentioning

confidence: 99%

The conservative management of cervical ectopic pregnancies

Kirk

Condous

Haider

et al. 2006

Ultrasound in Obstet & Gyne

122

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Section: Introductionmentioning

confidence: 99%

The conservative management of cervical ectopic pregnancies

Kirk

Condous

Haider

et al. 2006

Ultrasound in Obstet & Gyne

122

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“…The whole or a portion of the placenta must be situated below the entrance of the uterine vessels or below the peritoneal reflection of the anterior or posterior wall of the uterus and no fetal elements seen in the corpus uteri. First reported case of cervical case was diagnosed by ultrasonography in 1978 15 . In 1993 Timor-tritsch proposed some tringent criteria 16 .…”

Section: Discussionmentioning

confidence: 99%

Cervical Ectopic Pregnancy: A Puzzling Event

Begum

Ferdous

Sultana

et al. 2014

Chatt Maa Shi Hosp Med Coll J

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Cervical ectopic pregnancy is the implantation of the conceptus within the cervix below the level of internal os 1 . Such pregnancy typically aborts within the first trimester, if it is implanted closer to the uterine cavity called cervico isthmic pregnancy it may continue longer 2 . Cervical pregnancy accounts for less than 1% of all ectopic pregnancies, with an estimated incidence of 1 in 2500 to 1 in 18000. Though the pregnancy in this area is uncommon but possibly life threatening condition due to risk of severe hemorrhage and may need hysterectomy 2,3 . Early detection and conservative approach of treatment limit the morbidity and preserve fertility. A 37 year old lady para 4+0 diagnosed as a case of cervical ectopic pregnancy with intractable bleeding and save the patient by emergency hysterectomy to control hemorrhage. The case is reported here for its relative rarity.

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“…The study protocol was approved by the institutional review board of Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science. Cervical pregnancies were diagnosed by transvaginal ultrasound as described previously [10]. Data were collected through paper chart reviews and through a review of electronic medical records.…”

Section: Methodsmentioning

confidence: 99%

“…Recently, the application of first-trimester transvaginal ultrasonography has led to improvements in the early diagnosis of cervical pregnancy, thereby assisting in conservative and fertility-preserving treatment [10,11]. Since Farabow et al introduced systemic methotrexate (MTX) treatment for cervical pregnancy [12], MTX treatment has become an established alternative to surgical therapy [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Conservative management of cervical pregnancy: The utility of methotrexate treatment and uterine artery embolization

Masuyama¹,

Inoue²,

Nobumoto³

et al. 2013

OJOG

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The aim of this retrospective case series report is to evaluate systemic methotrexate therapy in conjunction with uterine artery embolization (UAE) in the conservative management of cervical pregnancy. We examined clinical presentations, treatments, and therapeutic outcomes in fifteen patients with a cervical pregnancy who wished for preservation of fertility, treated at Okayama University Hospital between 1998 and 2012. Twelve patients received systemic methotrexate including five treated with UAE. One was treated with UAE alone. Two patients received neither UAE nor methotrexate because of a low human chorionic gonadotropin (hCG) level and poor blood flow around the gestational sac (GS). An increased GS size and the elevated hCG level during methotrexate therapy might be risk factors for emergent UAE. Two of six patients treated with UAE had subsequent confirmed viable pregnancies. In patients with a cervical pregnancy, methotrexate therapy in combination with UAE can be considered as an option before performing a hysterectomy with suitable counseling about the risk of loss of fertility. Careful observation of the GS size and hCG level during methotrexate therapy might be important for management.

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Diabnosis of cervical pregnancy by ultrasound: A case report

Cited by 105 publications

References 5 publications

The conservative management of cervical ectopic pregnancies

The conservative management of cervical ectopic pregnancies

Cervical Ectopic Pregnancy: A Puzzling Event

Conservative management of cervical pregnancy: The utility of methotrexate treatment and uterine artery embolization

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