A Case of Cervical Pregnancy which Required the Conservative Surgical Management after Methotrexate Treatment was Failed.

Choi, I J; Lee, K W; Song, H S; Lee, S J; Kim, S D; Han, J S

Case Report

Korean Journal of Obstetrics & Gynecology 1999;42(4):906-910.
Published online January 1, 2001.

A Case of Cervical Pregnancy which Required the Conservative Surgical Management after Methotrexate Treatment was Failed.

I J Choi, K W Lee, H S Song, S J Lee, S D Kim, J S Han

Abstract

Cervical pregnancy is a rarely life-threatening form of ectopic pregnancy in which the blastocyst implants within the cervical mucosa below the internal os of the uterine cervix. The majority of patients with a cervical pregnancy are women with low parity, thus, the current treatment trend is to preserve their reproductive function. The main problem of conservative surgical treatment is life-threatening hemorrhage after pregnancy evacuation. We report a case of cervical pregnancy that fail to respond to methotrexate and leucovorin. The fetal heart beat was still detectable, thereafter we successfully treated the cervical pregnancy by dilatation and curettage and Foley catheter ballooning. Hemorrhage from the implantation site was controlled by intracervical placement of a Foley catheter balloon. Placement and inflation of Foley catheter in the cervix after cervical dilatation and curettage appears to be a simple and effective means of managing cervical pregnancy in patient who wishes to retain future fertility potential.

Key Words: Cervical pregnancy, Foley catheter