A rare and interesting case of heterotopic cervical pregnancy after intracytoplasmic sperm injection and embryo transfer
The wide use of assisted reproductive technologies has contributed to the increased risk of ectopic and subsequently heterotopic pregnancy (HP) rate. Cervical ectopic pregnancy is a very rare and life-threatening form of ectopic pregnancy that can also present as HP. We are describing here a case of...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Human Reproductive Sciences |
| Subjects: | |
| Online Access: | http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2016;volume=9;issue=4;spage=259;epage=262;aulast=Punhani |
| _version_ | 1819239884599066624 |
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| author | Ritu Punhani Kundavi Shankar Thankam R Varma |
| author_facet | Ritu Punhani Kundavi Shankar Thankam R Varma |
| author_sort | Ritu Punhani |
| collection | DOAJ |
| description | The wide use of assisted reproductive technologies has contributed to the increased risk of ectopic and subsequently heterotopic pregnancy (HP) rate. Cervical ectopic pregnancy is a very rare and life-threatening form of ectopic pregnancy that can also present as HP. We are describing here a case of 34-year-old woman who presented with bleeding heterotopic cervical pregnancy (HCP). The concomitant viable cervical and intrauterine pregnancies were diagnosed at 8 weeks of gestation. Selective fetal reduction was done for cervical pregnancy following which uterine artery embolization was done as a life-saving measure, and subsequently, injection methotrexate was also given. Although cervical component of HCP has the potential for high morbidity due to massive hemorrhage, the mortality rate is low due to early ultrasonographic diagnosis. A high index of suspicion is mandatory for early diagnosis. |
| first_indexed | 2024-12-23T13:59:13Z |
| format | Article |
| id | doaj.art-be4b3f3e7df14dfca8b94bb294fa70b1 |
| institution | Directory Open Access Journal |
| issn | 0974-1208 1998-4766 |
| language | English |
| last_indexed | 2024-12-23T13:59:13Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Human Reproductive Sciences |
| spelling | doaj.art-be4b3f3e7df14dfca8b94bb294fa70b12022-12-21T17:44:22ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662016-01-019425926210.4103/0974-1208.197693A rare and interesting case of heterotopic cervical pregnancy after intracytoplasmic sperm injection and embryo transferRitu PunhaniKundavi ShankarThankam R VarmaThe wide use of assisted reproductive technologies has contributed to the increased risk of ectopic and subsequently heterotopic pregnancy (HP) rate. Cervical ectopic pregnancy is a very rare and life-threatening form of ectopic pregnancy that can also present as HP. We are describing here a case of 34-year-old woman who presented with bleeding heterotopic cervical pregnancy (HCP). The concomitant viable cervical and intrauterine pregnancies were diagnosed at 8 weeks of gestation. Selective fetal reduction was done for cervical pregnancy following which uterine artery embolization was done as a life-saving measure, and subsequently, injection methotrexate was also given. Although cervical component of HCP has the potential for high morbidity due to massive hemorrhage, the mortality rate is low due to early ultrasonographic diagnosis. A high index of suspicion is mandatory for early diagnosis.http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2016;volume=9;issue=4;spage=259;epage=262;aulast=PunhaniCervical ectopic pregnancyhemorrhageheterotopic cervical pregnancymethotrexate |
| spellingShingle | Ritu Punhani Kundavi Shankar Thankam R Varma A rare and interesting case of heterotopic cervical pregnancy after intracytoplasmic sperm injection and embryo transfer Journal of Human Reproductive Sciences Cervical ectopic pregnancy hemorrhage heterotopic cervical pregnancy methotrexate |
| title | A rare and interesting case of heterotopic cervical pregnancy after intracytoplasmic sperm injection and embryo transfer |
| title_full | A rare and interesting case of heterotopic cervical pregnancy after intracytoplasmic sperm injection and embryo transfer |
| title_fullStr | A rare and interesting case of heterotopic cervical pregnancy after intracytoplasmic sperm injection and embryo transfer |
| title_full_unstemmed | A rare and interesting case of heterotopic cervical pregnancy after intracytoplasmic sperm injection and embryo transfer |
| title_short | A rare and interesting case of heterotopic cervical pregnancy after intracytoplasmic sperm injection and embryo transfer |
| title_sort | rare and interesting case of heterotopic cervical pregnancy after intracytoplasmic sperm injection and embryo transfer |
| topic | Cervical ectopic pregnancy hemorrhage heterotopic cervical pregnancy methotrexate |
| url | http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2016;volume=9;issue=4;spage=259;epage=262;aulast=Punhani |
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