Related Experiment Video
Updated: Jul 7, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Uterine artery embolization followed by dilation and curettage for cervical pregnancy
Yoshifumi Nakao1, Masatoshi Yokoyama, Tsuyoshi Iwasaka
1Department of Obstetrics and Gynecology Faculty of Medicine, Saga University, Saga City, Saga, Japan. nakaoy@cc.saga-u.ac.jp
Background:
Cervical pregnancy can be a life-threatening condition due to the risk of severe hemorrhage. Progression of ultrasonographic diagnostic technology has allowed the early detection of cervical pregnancy. However, a standard treatment protocol for fertility preservation has not yet been established.
Case:
Two women with cervical pregnancy presented with cardiac activity at 6 and 7 weeks of gestation. They were treated with transfemoral uterine artery embolization followed by dilation and curettage with minimal bleeding. One patient gave birth to a healthy neonate 20 months after the procedure.
Conclusion:
Early cervical pregnancies were treated with dilation and curettage after uterine artery embolization. This treatment can be considered as conservative management for patients who desire to preserve their fertility.
