Conservative Management of a Second-Trimester Cervical Ectopic Pregnancy

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External Cephalic Version: Is it an Effective and Safe Procedure?
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Katelyn F Handley1, Lauren M Bergeron1,2, Joseph R Biggio1,2

  • 1Department of Obstetrics and Gynecology, Ochsner Clinic Foundation, New Orleans, LA.

Ochsner Journal
|January 7, 2021
PubMed

Background: Cervical ectopic pregnancy is a rare condition, historically treated by hysterectomy. Case Report: A 33-year-old female at 13 weeks 3 days' gestation was diagnosed with a cervical ectopic pregnancy. She underwent a uterine artery embolization, fetal intrathoracic potassium chloride injection, amniocentesis, and ultrasound-guided suction dilation and curettage with the use of intracervical vasopressin, flowable gelatin with thrombin, and cervical cerclage. Conclusion: Advanced cervical ectopic pregnancy can be successfully managed in a conservative fashion in a patient who strongly desires future fertility.

Keywords:
Amniocentesisdilatation and curettagefertility preservationpregnancy–ectopicultrasonographyuterine artery embolization

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