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Viable Second Trimester cervical ectopic Pregnancy Managed Successfully with Uterine Preservation: Case Report

Open Journal of Obstetrics and Gynecology 2021年第9期11卷 1236-1247页

作者： Suzan Elsharkawy Abdullah Elrashidy Nazem Badran Gawed Ekbal Shahda Yakob Salamah Elnagar Ashraf Elaggan Amr Mostafa Mohamed Abdelaziz Assistant Professor of Obstetrics and Gynecology Alexandria University ARE and Consultant of Obstetrics and Gynecology Hail General Hospital Hail KSA Consultant of Urology King Khalid Hospital Hail KSA Consultants of Obstetrics and Gynecology Alkasim Maternity Hospital Alkasim KSA Consultants of Obstetrics and Gynecology Hail General Hospital Hail KSA Consultants of Radiology King Salman Hospital Hail KSA Faculty of Medicine Mansoura University Mansoura Egypt

cervical pregnancy is a rare clinical entity that accounts for less than 1% of all ectopic pregnancies. It results from implantation of the blastocyst in the cervical canal below the level of the internal os. Although non-tubal ectopic pregnancies account for only 5% of ectopics, they contribute to a significant morbidity. The cornerstone in the management of cervical ectopic is early diagnosis by high index of suspension and a qualified sonographer. Management options for cervical ectopic pregnancies range from conservative drug treatment to radical hysterectomy. Over the last few years, the mortality and morbidity rates of ectopic pregnancies have been reduced. This is mainly due to the early recognition of the condition and the wide availability of minimally invasive surgical procedures. We present a case of a 33-year-old woman that was 16 weeks pregnant. She presented initially with recurrent vaginal bleeding followed by minimal lower abdominal pain. Her early US scans were misleading. Several weeks later, a follow up MRI scan suggested cervical ectopic. She was managed surgically with uterine preservation.

关键词： ectopic Pregnancy cervical ectopic Uterine Artery Embolization Hystroscopic Resection Conservative Management of ectopic Methotrexate cervical Tamponade Bakri Balloon cervical Cerclage

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