Journal of Isfahan Medical School

Journal of Isfahan Medical School

Fertility Preservation in Treatment of Cervical Pregnancy: A Case Report

Document Type : Case Report

Authors
Ameneh Mansouri 1
Ellaheh Bahrami-Vazir 2
Zahra Mehdizadeh-Tourzani 3
1 Department of Midwifery, Kamali Hospital, Alborz University of Medical Sciences, Karaj, Iran
2 Department of Midwifery, School of Nursing and Midwifery, Tuyserkan Branch, Islamic Azad University, Tuyserkan, Iran
3 Department of Midwifery, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran
10.22122/jims.v35i453.8472
Abstract
Background: Cervical pregnancy is a rare life threatening form of ectopic pregnancy. This is a case report of cervical pregnancy.Case Report: We describe a case of cervical pregnancy early diagnosed via transvaginal ultrasound and magnetic resonance imaging (MRI). She was treated through curettage, ligation of descending branch of uterine vessels, and tamponade following treatment failure using methotrexate (MTX) due to the patient's refuse to continue treatment; her fertility was preserved, too.Conclusion: Early diagnosis via vaginal ultrasonography and confirmation of magnetic resonance imaging, and using nonsurgical conservative treatment methods such as methotrexate, ligation of uterine vessels, and cervical tamponade, to preserve the fertility, are the first actions in cervical pregnancy.
Keywords
Ectopic pregnancy
Cervix
Magnetic Resonance Imaging
Fertility preservation
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Journal of Isfahan Medical School
Volume 35, Issue 453 - Serial Number 453
September and October 2018
Pages 1546-1549

  • Receive Date 08 July 2017
  • Accept Date 06 April 2022