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Heterotopic cervical pregnancy successfully treated with transvaginal ultrasound-guided aspiration and cervical-stay
D Chen1, I Kligman, Z Rosenwaks
1Center For Reproductive Medicine and Infertility, New York Weill Cornell Medical Center, New York, New York 10021, USA.
Objective:
To present a case of a heterotopic cervical pregnancy successfully treated with transvaginal ultrasound-guided aspiration and cervical-stay sutures.
Design:
Case report.
Setting:
Tertiary academic IVF program.
Patient(S):
A 35-year-old woman who conceived from IVF-ET treatment at 5.5 weeks of gestation.
Intervention(S):
Transvaginal ultrasound-guided aspiration of the cervical pregnancy followed by cervical-stay sutures to control hemorrhage after aspiration.
Main Outcome Measure(S):
Recovery of the patient, preservation of the intrauterine pregnancy, and sequelae.
Results(S):
The cervical pregnancy was successfully aborted, and the intrauterine pregnancy progressed to term.
Conclusion(S):
Transvaginal ultrasound-guided aspiration in combination with hemostatic cervical-stay sutures can be safely used to manage heterotopic cervical pregnancies.
