Short communication, Note

CONSERVATIVE TREATMENT OF CERVICAL PREGNANCY Review and case report

Renato Bauman ; Department of Gynaecology and Obstetrics, General Hospital
Marijan Ilijaš ; Department of Gynaecology and Obstetrics, General Hospital
Daria Hafner ; Department of Gynaecology and Obstetrics, General Hospital
Boris Ujević ; Department of Gynaecology and Obstetrics, General Hospital
Sanja Vujisić ; Department of Gynaecology and Obstetrics, General Hospital
Krešimir Stilinović ; Department of Gynaecology and Obstetrics, General Hospital
Vladimir Šparac ; Department of Gynaecology and Obstetrics, General Hospital
Sanja Kupešić ; Department of Gynaecology and Obstetrics, General Hospital

Abstract

Cervical pregnancy is a rare but very dangerous site of ectopic pregnancy. In the past cervical pregnancy was treated by various surgical methods that often ended with hysterectomy. Today cervical pregnancy is treated conservatively, mainly with local or systemic application of methotrexate. We present a case of 33 years old nullipara who was admitted to our department with clinical and ultrasonographic finding of cervical pregnancy in 6 weeks of gestation. Inside the cervix we found the gestational sac with the embryonic echo 4 mm with positive heart beats. The betaHCG level was 9970 IU/L and we started with administration of methotrexate, 75 mg iv in infusion followed by Leucovorin. The same therapy was given on Day 8 and Day 17. After the first dose of methotrexate betaHCG was higher (12650 IU/L) followed by a continious drop until Day 33 when was 52,6 IU/L. The patient was discharged from the hospital on day 36 and two weeks thereafter had normal clinical and ultrasonographic findings and negative betaHCG.

Keywords

uterine cervix; pregnancy; methotrexate

Hrčak ID:

23525

URI

https://hrcak.srce.hr/23525

Publication date:

1.3.2008.

Article data in other languages: croatian

Visits: 4.546 *