What is the best treatment of heterotopic cervical pregnancies for a successful pregnancy outcome?.
10.5653/cerm.2012.39.4.187
- Author:
Ji Won KIM
1
;
Han Moie PARK
;
Woo Sik LEE
;
Tae Ki YOON
Author Information
1. Department of Obstetrics and Gynecology, Fertility Center of CHA Gangnam Medical Center, CHA University, Seoul, Korea. tkyoon@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Cervical pregnancy;
Heterotopic pregnancy;
Selective fetal reduction
- MeSH:
Embryonic Structures;
Emergencies;
Female;
Gestational Sac;
Hemorrhage;
Humans;
Infant, Newborn;
Pregnancy;
Pregnancy, Heterotopic;
Premature Birth;
Reproductive Techniques, Assisted;
Surgical Instruments;
Uterine Hemorrhage
- From:Clinical and Experimental Reproductive Medicine
2012;39(4):187-192
- CountryRepublic of Korea
- Language:English
-
Abstract:
Heterotopic pregnancy is rare event and the risk is increased with assisted reproductive technology procedures. Heterotopic cervical pregnancy is even more unusual. We report a rare case of heterotopic cervical pregnancy that was managed successfully. A 36-year-old women who conceived by IVF-ICSI was diagnosed with heterotopic cervical pregnancy. She visited the emergency room with vaginal bleeding at 5 weeks of gestation and underwent careful intracervical gestational sac reduction with forceps under abdominal guidance the next day. The postoperative course was uneventful and with regular check-ups, the intrauterine pregnancy (IUP) progressed unremarkably through 41 weeks with delivery of a healthy newborn. We reviewed a total of 37 cases of heterotopic pregnancy that have been reported in the English language literature. There have been many attempts to eliminate the cervical embryo while preserving the IUP, and complete cervical evacuation is important in order to avoid infection, bleeding, and premature birth.
