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Cervical pregnancy: assessment with three‐dimensional power Doppler imaging and successful management with selective uterine artery embolization
Author(s) -
Su Y.N.,
Shih J.C.,
Chiu W.H.,
Lee C.N.,
Cheng W.F.,
Hsieh F.J
Publication year - 1999
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.1999.14040284.x
Subject(s) - medicine , uterine artery embolization , cervical pregnancy , embolization , pregnancy , uterine artery , hysterectomy , vaginal bleeding , arteriovenous malformation , obstetrics and gynaecology , human chorionic gonadotropin , obstetrics , radiology , surgery , gestation , ectopic pregnancy , genetics , biology , hormone
Cervical pregnancy is frequently associated with extensive hemorrhage which, in severe cases, may be stopped only by hysterectomy. We report a case of an anembryonic cervical pregnancy diagnosed at 10 weeks, and associated with a large arteriovenous malformation. The patient was conservatively managed with simple selective uterine artery embolization. After embolization, her vaginal bleeding ceased and the level of serum β‐human chorionic gonadotropin decreased rapidly. No additional treatment was given. The patient's postoperative course was uneventful and the cervical mass had disappeared at the follow‐up 4 months later. To the best of our knowledge, this is the first report of conservative management of cervical pregnancy simply by uterine artery embolization. The role of three‐dimensional power Doppler ultrasonography in the assessment of cervical pregnancy and in monitoring the therapeutic response is discussed. Copyright © 1999 International Society of Ultrasound in Obstetrics and Gynecology