management of cervical ectopic pregnancy after unsuccesful methotrexate treatment

Management of cervical ectopic pregnancy after unsuccesful methotrexate treatment

BACKGROUND Cervical pregnancy is rare and dangerous form of ectopic pregnancy which can be treated surgically or conservatively. Methotrexate is reasonable conservative option with high efficiency and acceptable level of side effects. Aim of this paper is to present possible treatment option in case of methotrexate failure, still keeping the postulates of minimal invasive surgery. CASE We des...

Fertility Outcome after Treatment of Unruptured Ectopic Pregnancy with Two Different Methotrexate Protocols

Cervical Ectopic Pregnancy Managed with Methotrexate

123 Cervical ectopic pregnancy is extremely rare. Its incidence is approximately 1 in 9,000 deliveries, less than 1% of ectopic pregnancies1,2. It is associated with potentially serious complications if not diagnosed and treated early. Cervical pregnancy is a serious condition due to trophoblast cells penetrating through the cervical wall and into the uterine blood supply, leading to severe hem...

Successful Management of Cervical Ectopic Pregnancy: A Case Report

Background: Cervical ectopic pregnancy is a rare condition with an incidence of less than 0.1% in all ectopic pregnancies. This life-threatening condition is associated with a high morbidity and mortality rates. Recently, the recommended protocol for the treatment of cervical ectopic pregnancy is fertility preservation rather than invasive surgery and hysterectomy. The aim of t...

Conservative Treatment with Methotrexate of Ectopic Pregnancy

Diagnosis of ectopic pregnancy is vital, as it could save the mother’s life before uterine rupture occur. Uterine rupture accounts 6% of pregnancy related deaths and the leading cause of first trimester maternal death [2]. Diagnosis can be done by holistic approach from patient’s history, physical examination and radiology and laboratory results. The most common complaint for patients to seek f...

[Treatment of ectopic pregnancy with methotrexate].

This is a report on the successful treatment of an unruptured tubal pregnancy with methotrexate (MTX). To our knowledge eighteen cases, including ours, have been reported in Western literature so far. The advantages and drawbacks of this therapy are discussed.