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P150Illustration of a cervical pregnancy medically treated
Author(s) -
Guizani M.,
Vernaeve V.,
Van Pachterbeke C.
Publication year - 2000
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.1469-0705.2000.00004-1-149.x
Subject(s) - medicine , amenorrhea , cervical pregnancy , pregnancy , methotrexate , cervix , uterine cavity , surgery , obstetrics , lower abdominal pain , medical history , uterus , ectopic pregnancy , cancer , genetics , biology
A 26 year old woman, without any previous medical history and who has done two pregnancies interruptions, came at the visit for inquieries for a third pregnancy termination. She was in amenorrhea, the time elapsed from the last period was unknown. The patient had abdominal pain progressing since a few weeks. The clinical examination showed a painful cervix mobilisation. An ultrasound scan was performed showing a seven weeks nonevolutive cervical pregnancy. The uterine cavity was enlarged and filled with blood clots. To avoid hemorragic complications that could be life‐threatening, the patient received a single intramuscular injection of 60 milligrams of methotrexate. We followed the evolution with ultrasounds scans and measurements of plasmatic βHCG and progesteron. The course of the diesease ended succesfully. The poster will summerise the clinical, biological and sonographic evolution during the four weeks following the medical treatment.