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EMBARAZO ECTÓPICO CERVICAL: DIAGNÓSTICO Y TRATAMIENTO CONSERVADOR CON CERCLAJE CERVICAL

2005; Sociedad Chilena de Obstetricia y Ginecología; Volume: 70; Issue: 4 Linguagem: Espanhol

10.4067/s0717-75262005000400010

0717-7526

Fernando Troncoso R., Ximena Cardone P., Carlos Rondini F-D., Carlos Troncoso R.,

Maternal and fetal healthcare

RESUMENSe describen dos casos de embarazo ectopico cervical, diagnosticados en el Servicio de Urgencia dela Maternidad del Hospital Padre Hurtado, ambos casos correspondian a gestaciones menores a sietesemanas; diagnostico efectuado por ecografia transvaginal. Ambos casos se trataron inicialmente en formamedica, presentando genitorragia importante durante la evolucion. Para el control del sangrado se efectuocerclaje cervical tipo McDonald. Las pacientes evolucionaron favorablemente sin requerir otro tipo decirugia. Estos casos sugieren que el cerclaje cervical es una excelente alternativa en pacientes conembarazos ectopicos cervicales, conservando el potencial reproductivo de las pacientes.PALABRAS CLAVES: Embarazo cervical, cerclaje cervicalSUMMARYWe describe the cervical cerclage as an alternative of conservative treatment in the cervical ectopicpregnancy. Two cases of cervical ectopic pregnancy are described. Both cases corresponded to gestationssmaller than seven weeks, diagnosis was done by means of transvaginal ultrasound. The cases were initiallytreated medically, but both patients presented severe bleeding during their evolution and cervical cerclage(McDonald type) was used for their control, evolving in favourable way without requiring another type ofsurgery. According to ours results the cervical cerclage can be considered an excellent choice in patientswith cervical ectopic pregnancy, conserving the female reproductive potential.KEY WORDS: Cervical pregnancy, cervical cerclage