A Case of Cervical Pregnancy Treated by both Intraamniotic and Systemic Methotrexate Injection.

Hur, Eui Jong; Park, Jin Wan; Lee, Won Ki; Hah, Jin Wan

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Case Report

Korean Journal of Obstetrics & Gynecology 1999;42(12):2837-2840.
Published online January 1, 2001.

A Case of Cervical Pregnancy Treated by both Intraamniotic and Systemic Methotrexate Injection.

Eui Jong Hur, Jin Wan Park, Won Ki Lee, Jin Wan Hah

Abstract

Cervical pregnancy is a rare form of ectopic pregnancy and it can cause life-threatening bleeding. Until recently abdominal hysterectomy has been considered the standard therapy for fear of profuse hemorrhage. Methotrexate, however, can be useful agent to conserve further fertility and it is used in various routes of administration. We report a case of cervical pregnancy that was successfully treated by intraamniotic methotrexate injection under the guidance of transvaginal ultrasonography and subsequent four systemic doses thereafter.

Key Words: Cervical pregnancy, Methotrexate, Intraamniotic injection, Systemic injection

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