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Uterine Artery Embolization Followed by Dilation and Curettage for Cervical Pregnancy

2008; Lippincott Williams & Wilkins; Volume: 111; Issue: 2 Linguagem: Inglês

10.1097/01.aog.0000286771.10377.4e

1873-233X

Y. Nakao, Masatoshi Yokoyama, Tsuyoshi Iwasaka,

Pregnancy-related medical research

In Brief 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. Two patients who had cervical pregnancy in the first trimester were successfully treated with dilatation and curettage after uterine artery embolization.