Clinical Medicine Journal
Articles Information
Clinical Medicine Journal, Vol.1, No.2, Jun. 2015, Pub. Date: May 18, 2015
Cervical Ectopic Pregnancy
Pages: 60-62 Views: 1522 Downloads: 913
Authors
[01] Hatav Ghasemi Tehrani, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
[02] Minoo Movahedi, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
[03] Leila Hashemi, Department of Obstetrics and Gynecology, Yazd University of Medical Sciences, Yazd, Iran.
[04] Mojdeh Ghasemi, ShahidBeheshti Hospital, Isfahan University of Medical Science, Isfahan, Iran.
Abstract
Ectopic pregnancy is abnormal implantation site of ovum. Incidence of ectopic pregnancy is 1.5–2%.Itis mostly commonly related with rise of age. Cervical ectopic pregnancy is one case in 2500 or one case in 1000 pregnancy. Cervix is uncommon site for pregnancy. Treatment of ectopic pregnancy is dividing to conservative and surgical. Conservative treatments are Methotrexate or inject KCL in fetus heart. Surgical treatment is D&C or tymponad in cervix or balloon in it or uterine artery embolization and finally hysterectomy. Here we present the cervical ectopic pregnancy that present with retard of menstruation. She is a 37 years old woman Gravida2, live child1, Gestational age was 4weeks,ß–HCG level was 800IU, transvaginal sonography showed no fetal pole and no fetal heart rate and no yolk sac in gestational age6weeks. She had done multiple sonography and in the last sonography, the yolk sac in cervix was seen and ß -HCG rise from 58850 to 83332. Her past surgical history had shown myomectomy several years ago. At first we decided to inject Methotrexate in gestational sac but ß –HCG titter raised, then she undergone D&C and cervical artery ligation to prevent vaginal bleeding was done. Dilatation and curettage successfully had done and ß-HCG decrease to 12800.
Keywords
Ectopic Pregnancy-Cervical Pregnancy-Dilatation, Curettage
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