Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report
This study is aimed at describing a noninvasive conservative strategy to the treatment of cervical pregnancy and highlighting the success of ultrasound-guided therapeutic techniques. A 43-year-old woman with a history of one previous cesarean section presented in our unit with vaginal spotting and a...
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Hindawi Limited
2021
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oai:doaj.org-article:ad161111b4644ecb8ff47d36e37f60462021-11-22T01:11:22ZTreatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report2090-669210.1155/2021/6601461https://doaj.org/article/ad161111b4644ecb8ff47d36e37f60462021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6601461https://doaj.org/toc/2090-6692This study is aimed at describing a noninvasive conservative strategy to the treatment of cervical pregnancy and highlighting the success of ultrasound-guided therapeutic techniques. A 43-year-old woman with a history of one previous cesarean section presented in our unit with vaginal spotting and a positive urine pregnancy test. She was diagnosed with a cervical pregnancy, and she was successfully treated conservatively with the administration of intragestational sac methotrexate under ultrasound guidance. Cervical pregnancy is a rare form of ectopic pregnancy that results from conceptus implantation in the cervical canal. The main concern is the associated life-threatening hemorrhage and subsequent need for urgent hysterectomy. The evolution of ultrasound over the past decades has enabled early diagnosis and has shifted the management from a radical surgical approach towards a stepwise conservative therapeutic approach, when possible.Angeliki RouvaliPanagiotis VlastarakosSofoklis StavrosMaria GiourgaKalliopi PappaAngeliki GeredeAlexandros RodolakisEkaterini DomaliHindawi LimitedarticleGynecology and obstetricsRG1-991ENCase Reports in Obstetrics and Gynecology, Vol 2021 (2021) |
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DOAJ |
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EN |
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Gynecology and obstetrics RG1-991 |
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Gynecology and obstetrics RG1-991 Angeliki Rouvali Panagiotis Vlastarakos Sofoklis Stavros Maria Giourga Kalliopi Pappa Angeliki Gerede Alexandros Rodolakis Ekaterini Domali Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report |
| description |
This study is aimed at describing a noninvasive conservative strategy to the treatment of cervical pregnancy and highlighting the success of ultrasound-guided therapeutic techniques. A 43-year-old woman with a history of one previous cesarean section presented in our unit with vaginal spotting and a positive urine pregnancy test. She was diagnosed with a cervical pregnancy, and she was successfully treated conservatively with the administration of intragestational sac methotrexate under ultrasound guidance. Cervical pregnancy is a rare form of ectopic pregnancy that results from conceptus implantation in the cervical canal. The main concern is the associated life-threatening hemorrhage and subsequent need for urgent hysterectomy. The evolution of ultrasound over the past decades has enabled early diagnosis and has shifted the management from a radical surgical approach towards a stepwise conservative therapeutic approach, when possible. |
| format |
article |
| author |
Angeliki Rouvali Panagiotis Vlastarakos Sofoklis Stavros Maria Giourga Kalliopi Pappa Angeliki Gerede Alexandros Rodolakis Ekaterini Domali |
| author_facet |
Angeliki Rouvali Panagiotis Vlastarakos Sofoklis Stavros Maria Giourga Kalliopi Pappa Angeliki Gerede Alexandros Rodolakis Ekaterini Domali |
| author_sort |
Angeliki Rouvali |
| title |
Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report |
| title_short |
Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report |
| title_full |
Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report |
| title_fullStr |
Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report |
| title_full_unstemmed |
Treatment of Cervical Pregnancy with Ultrasound-Guided Intragestational Injection of Methotrexate: A Case Report |
| title_sort |
treatment of cervical pregnancy with ultrasound-guided intragestational injection of methotrexate: a case report |
| publisher |
Hindawi Limited |
| publishDate |
2021 |
| url |
https://doaj.org/article/ad161111b4644ecb8ff47d36e37f6046 |
| work_keys_str_mv |
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