Successful Management of Cervical Ectopic Pregnancy: A Multidisciplinary Approach Utilising Uterine Artery Embolisation and Hysteroscopic Resection
Cervical ectopic pregnancy (CEP) is a rare and challenging condition that requires prompt management to prevent complications. We present a case of a 27-year-old woman with a history of prior uterine surgeries who presented with vaginal spotting. Ultrasonography revealed an empty uterine cavity and...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-10-01
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| Series: | Journal of Human Reproductive Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jhrs.jhrs_119_23 |
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| author | Sangam Jha B Jafeesha |
| author_facet | Sangam Jha B Jafeesha |
| author_sort | Sangam Jha |
| collection | DOAJ |
| description | Cervical ectopic pregnancy (CEP) is a rare and challenging condition that requires prompt management to prevent complications. We present a case of a 27-year-old woman with a history of prior uterine surgeries who presented with vaginal spotting. Ultrasonography revealed an empty uterine cavity and a growing gestational sac with a viable foetus in the cervical canal. Despite methotrexate therapy, her beta-human chorionic gonadotropin hCG levels continued to rise, necessitating an alternative treatment approach. Bilateral uterine artery embolisation (UAE) was performed to reduce the risk of haemorrhage before hysteroscopic resection of the pregnancy. The combined approach of UAE and hysteroscopic resection successfully managed the CEP, leading to a favourable outcome. This case highlights the importance of early detection, tailored interventions and multidisciplinary collaboration in the management of CEP. UAE, in conjunction with hysteroscopic resection, offers a promising treatment option for CEP, minimising complications and preserving reproductive health. |
| format | Article |
| id | doaj-art-26151657d61f4182b7a3f390459bc8a8 |
| institution | Kabale University |
| issn | 0974-1208 1998-4766 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Human Reproductive Sciences |
| spelling | doaj-art-26151657d61f4182b7a3f390459bc8a82025-02-10T09:17:46ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662023-10-0116435836110.4103/jhrs.jhrs_119_23Successful Management of Cervical Ectopic Pregnancy: A Multidisciplinary Approach Utilising Uterine Artery Embolisation and Hysteroscopic ResectionSangam JhaB JafeeshaCervical ectopic pregnancy (CEP) is a rare and challenging condition that requires prompt management to prevent complications. We present a case of a 27-year-old woman with a history of prior uterine surgeries who presented with vaginal spotting. Ultrasonography revealed an empty uterine cavity and a growing gestational sac with a viable foetus in the cervical canal. Despite methotrexate therapy, her beta-human chorionic gonadotropin hCG levels continued to rise, necessitating an alternative treatment approach. Bilateral uterine artery embolisation (UAE) was performed to reduce the risk of haemorrhage before hysteroscopic resection of the pregnancy. The combined approach of UAE and hysteroscopic resection successfully managed the CEP, leading to a favourable outcome. This case highlights the importance of early detection, tailored interventions and multidisciplinary collaboration in the management of CEP. UAE, in conjunction with hysteroscopic resection, offers a promising treatment option for CEP, minimising complications and preserving reproductive health.https://journals.lww.com/10.4103/jhrs.jhrs_119_23ectopic cervical pregnancyhysteroscopymethotrexate therapyuterine artery embolisation |
| spellingShingle | Sangam Jha B Jafeesha Successful Management of Cervical Ectopic Pregnancy: A Multidisciplinary Approach Utilising Uterine Artery Embolisation and Hysteroscopic Resection Journal of Human Reproductive Sciences ectopic cervical pregnancy hysteroscopy methotrexate therapy uterine artery embolisation |
| title | Successful Management of Cervical Ectopic Pregnancy: A Multidisciplinary Approach Utilising Uterine Artery Embolisation and Hysteroscopic Resection |
| title_full | Successful Management of Cervical Ectopic Pregnancy: A Multidisciplinary Approach Utilising Uterine Artery Embolisation and Hysteroscopic Resection |
| title_fullStr | Successful Management of Cervical Ectopic Pregnancy: A Multidisciplinary Approach Utilising Uterine Artery Embolisation and Hysteroscopic Resection |
| title_full_unstemmed | Successful Management of Cervical Ectopic Pregnancy: A Multidisciplinary Approach Utilising Uterine Artery Embolisation and Hysteroscopic Resection |
| title_short | Successful Management of Cervical Ectopic Pregnancy: A Multidisciplinary Approach Utilising Uterine Artery Embolisation and Hysteroscopic Resection |
| title_sort | successful management of cervical ectopic pregnancy a multidisciplinary approach utilising uterine artery embolisation and hysteroscopic resection |
| topic | ectopic cervical pregnancy hysteroscopy methotrexate therapy uterine artery embolisation |
| url | https://journals.lww.com/10.4103/jhrs.jhrs_119_23 |
| work_keys_str_mv | AT sangamjha successfulmanagementofcervicalectopicpregnancyamultidisciplinaryapproachutilisinguterinearteryembolisationandhysteroscopicresection AT bjafeesha successfulmanagementofcervicalectopicpregnancyamultidisciplinaryapproachutilisinguterinearteryembolisationandhysteroscopicresection |