Cervical pregnancy: a case report of hysteroscopic resection and balloon compression combined with systematic methotrexate treatment
Objective: Cervical pregnancy is a rare type of ectopic pregnancy. When the pregnancy is terminated, it will sometimes lead to persistent bleeding. In some cases, hysterectomy is inevitable and the patient loses fertility. Therefore, early diagnosis and targeted management with systemic or local inj...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-11-01
|
| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455922002911 |
| _version_ | 1811179849825386496 |
|---|---|
| author | Chiung-Yi Yeh Jun-Wei Su Cherry Yin-Yi Chang Chih-Yi Yang Wu-Chou Lin Chien-Chu Huang |
| author_facet | Chiung-Yi Yeh Jun-Wei Su Cherry Yin-Yi Chang Chih-Yi Yang Wu-Chou Lin Chien-Chu Huang |
| author_sort | Chiung-Yi Yeh |
| collection | DOAJ |
| description | Objective: Cervical pregnancy is a rare type of ectopic pregnancy. When the pregnancy is terminated, it will sometimes lead to persistent bleeding. In some cases, hysterectomy is inevitable and the patient loses fertility. Therefore, early diagnosis and targeted management with systemic or local injection of methotrexate is the first-line treatment. Multiple interventions of cervical pregnancy were used to prevent massive hemorrhage, including dilatation and curettage, laparoscopic resection, hysteroscopic resection combined with uterine artery embolization, or uterine artery clip. Case report: We report a case of cervical pregnancy with a high beta-hCG level accompanied by a visible fetal heartbeat that was successfully treated with hysteroscopic cervical tissue resection and balloon compression combined with systemic administration of methotrexate. Conclusion: Efficacy and safety with preserved fertility were important issues in the management of cervical pregnancy. We provide a safe, simple and effective treatment of cervical pregnancy. |
| first_indexed | 2024-04-11T06:40:27Z |
| format | Article |
| id | doaj.art-6b1ce776f18441fdabc3d94bae0733b1 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-11T06:40:27Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-6b1ce776f18441fdabc3d94bae0733b12022-12-22T04:39:33ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592022-11-0161610611064Cervical pregnancy: a case report of hysteroscopic resection and balloon compression combined with systematic methotrexate treatmentChiung-Yi Yeh0Jun-Wei Su1Cherry Yin-Yi Chang2Chih-Yi Yang3Wu-Chou Lin4Chien-Chu Huang5Department of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung 404, Taiwan; Graduate Institution of Biomedical Sciences, China Medical UniversityDepartment of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung 404, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung 404, Taiwan; Department of Medicine, China Medical University, No. 2, Yuh-Der Road, Taichung 404, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung 404, Taiwan; Department of Public Health, China Medical University, No. 2, Yuh-Der Road, Taichung 404, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung 404, Taiwan; Department of Medicine, China Medical University, No. 2, Yuh-Der Road, Taichung 404, Taiwan; Corresponding author. Department of Obstetrics and Gynecology, China Medical University Hospital, Graduate Institution of Biomedical Sciences, China Medical University, No. 2, Yuh-Der Road, Taichung 404, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung 404, Taiwan; Graduate Institution of Biomedical Sciences, China Medical University; Corresponding author. Department of Obstetrics and Gynecology, China Medical University Hospital, Graduate Institution of Biomedical Sciences, China Medical University, No. 2, Yuh-Der Road, Taichung 404, TaiwanObjective: Cervical pregnancy is a rare type of ectopic pregnancy. When the pregnancy is terminated, it will sometimes lead to persistent bleeding. In some cases, hysterectomy is inevitable and the patient loses fertility. Therefore, early diagnosis and targeted management with systemic or local injection of methotrexate is the first-line treatment. Multiple interventions of cervical pregnancy were used to prevent massive hemorrhage, including dilatation and curettage, laparoscopic resection, hysteroscopic resection combined with uterine artery embolization, or uterine artery clip. Case report: We report a case of cervical pregnancy with a high beta-hCG level accompanied by a visible fetal heartbeat that was successfully treated with hysteroscopic cervical tissue resection and balloon compression combined with systemic administration of methotrexate. Conclusion: Efficacy and safety with preserved fertility were important issues in the management of cervical pregnancy. We provide a safe, simple and effective treatment of cervical pregnancy.http://www.sciencedirect.com/science/article/pii/S1028455922002911Cervical pregnancyectopic pregnancyTCR (transvaginal cervical resection) |
| spellingShingle | Chiung-Yi Yeh Jun-Wei Su Cherry Yin-Yi Chang Chih-Yi Yang Wu-Chou Lin Chien-Chu Huang Cervical pregnancy: a case report of hysteroscopic resection and balloon compression combined with systematic methotrexate treatment Taiwanese Journal of Obstetrics & Gynecology Cervical pregnancy ectopic pregnancy TCR (transvaginal cervical resection) |
| title | Cervical pregnancy: a case report of hysteroscopic resection and balloon compression combined with systematic methotrexate treatment |
| title_full | Cervical pregnancy: a case report of hysteroscopic resection and balloon compression combined with systematic methotrexate treatment |
| title_fullStr | Cervical pregnancy: a case report of hysteroscopic resection and balloon compression combined with systematic methotrexate treatment |
| title_full_unstemmed | Cervical pregnancy: a case report of hysteroscopic resection and balloon compression combined with systematic methotrexate treatment |
| title_short | Cervical pregnancy: a case report of hysteroscopic resection and balloon compression combined with systematic methotrexate treatment |
| title_sort | cervical pregnancy a case report of hysteroscopic resection and balloon compression combined with systematic methotrexate treatment |
| topic | Cervical pregnancy ectopic pregnancy TCR (transvaginal cervical resection) |
| url | http://www.sciencedirect.com/science/article/pii/S1028455922002911 |
| work_keys_str_mv | AT chiungyiyeh cervicalpregnancyacasereportofhysteroscopicresectionandballooncompressioncombinedwithsystematicmethotrexatetreatment AT junweisu cervicalpregnancyacasereportofhysteroscopicresectionandballooncompressioncombinedwithsystematicmethotrexatetreatment AT cherryyinyichang cervicalpregnancyacasereportofhysteroscopicresectionandballooncompressioncombinedwithsystematicmethotrexatetreatment AT chihyiyang cervicalpregnancyacasereportofhysteroscopicresectionandballooncompressioncombinedwithsystematicmethotrexatetreatment AT wuchoulin cervicalpregnancyacasereportofhysteroscopicresectionandballooncompressioncombinedwithsystematicmethotrexatetreatment AT chienchuhuang cervicalpregnancyacasereportofhysteroscopicresectionandballooncompressioncombinedwithsystematicmethotrexatetreatment |