Kratko priopćenje

CONSERVATIVE TREATMENT OF CERVICAL PREGNANCY Review and case report

Renato Bauman ; Klinika za ginekologiju i porodništvo Opće bolnice Sveti Duh u Zagrebu
Marijan Ilijaš ; Klinika za ginekologiju i porodništvo Opće bolnice Sveti Duh u Zagrebu
Daria Hafner ; Klinika za ginekologiju i porodništvo Opće bolnice Sveti Duh u Zagrebu
Boris Ujević ; Klinika za ginekologiju i porodništvo Opće bolnice Sveti Duh u Zagrebu
Sanja Vujisić ; Klinika za ginekologiju i porodništvo Opće bolnice Sveti Duh u Zagrebu
Krešimir Stilinović ; Klinika za ginekologiju i porodništvo Opće bolnice Sveti Duh u Zagrebu
Vladimir Šparac ; Klinika za ginekologiju i porodništvo Opće bolnice Sveti Duh u Zagrebu
Sanja Kupešić ; Klinika za ginekologiju i porodništvo Opće bolnice Sveti Duh u Zagrebu

Sažetak

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.

Ključne riječi

uterine cervix; pregnancy; methotrexate

Hrčak ID:

23525

URI

https://hrcak.srce.hr/23525

Datum izdavanja:

1.3.2008.

Podaci na drugim jezicima: hrvatski

Posjeta: 4.546 *