International Journal of Reproductive BioMedicine
Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences of Yazd
Vol. 17, No. 7, 2019, pp. 521-524
Bioline Code: rm19056
Full paper language: English
Document type: Case Report
Document available free of charge
International Journal of Reproductive BioMedicine, Vol. 17, No. 7, 2019, pp. 521-524
© Copyright 2019 - Atossa Mahdavi et al.
Pre-curettage cerclage in a viable triplet cervical pregnancy: A case report and review of literature|
Mahdavi, Atossa; Aleyasin, Ashraf & Sheibani, Nazanin
Background: Cervical ectopic pregnancy (CEP) is a rare and dangerous form of ectopic
pregnancy in which the blastocyst is installed within the endo-cervical canal. CEP
diagnosis requires special awareness to evaluate patient precisely. Individualizing
controversial medical and surgical management strategies is of importance in medical
Case: A 35-year-old nulliparous woman on her 9th week of pregnancy was referred to
our hospital with vaginal bleeding preliminary misdiagnosed as aborting intrauterine
pregnancy. Transvaginal ultrasound revealed an empty uterus and a viable triplet
pregnancy just below the level of internal os. Cervical curettage after cerclage suture
placement procedure removed conception tissues completely. Consequently, in the
next few hours vaginal bleeding decreased to minimal amount and vital signs remained
within normal limits and there was no hematocrit change. On follow-up day 32, serum
B-HCG became negative.
Conclusion: CEP diagnosis requires special attention and awareness to evaluate
patient precisely along with skillful assessment of possible risk factors. Lifesaving
treatment beside fertility preservation was successful with pre-curettage cerclage.
Cervical pregnancy; Cervical triplet pregnancy; Cervical cerclage; Methotrexate.
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