Open AccessSuccessful management of cervical ectopic pregnancy with embryo reduction: report of three cases
Author(s) -
Ginna Ortiz,
Nicolas Kameyama,
Jean Paul Sulaiman,
Esther López-Bayghen
Publication year - 2021
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 3
ISSN - 2042-8812
DOI - 10.1093/jscr/rjab216
Subject(s) - medicine , obstetrics , embryo transfer , gestational sac , fertility , ectopic pregnancy , in vitro fertilisation , pregnancy , gynecology , embryo , population , biology , genetics , environmental health , microbiology and biotechnology
If methotrexate (MTX) fails to resolve cervical ectopic pregnancies (CEP), the remaining surgical options result in the potential loss of the patient’s fertility. Therefore, we examined if the embryo reduction technique can resolve the CEP without any complications while conserving the patient’s fertility. We report three cases in which CEP didn’t respond to MTX but was successfully solved by embryo reduction. Each patient underwent a standard in vitro fertilization (IVF) protocol. Once CEP was confirmed, the pregnancy’s location, the fetus’s size and gestational sac and heartbeat were determined. Afterward, embryo reduction was performed under general anesthesia (operative time: ~30 min). All patients had successful procedures without any postoperative complications. Since the procedure, one woman was pregnant and delivered, the second has registered a positive β-human chorionic gonadotropin test and the last is waiting for IVF preparation. In summary, embryo reduction is a feasible approach in the management of CEP with favorable fertility outcomes.