Skip to main content Accessibility help
×
Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-16T14:16:00.234Z Has data issue: false hasContentIssue false

Case 31 - A 28-Year-Old G3P2 Woman Presents at Eight Weeks with a Cervical Ectopic Pregnancy

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
Get access

Summary

A 28-year-old gravida 3, para 2, last menstrual period eight weeks ago, presents for confirmation of pregnancy. She reports mild nausea and fatigue. She has regular menses and reports that she and her partner have been trying to conceive. Her obstetric history is significant for a full-term cesarean delivery for malpresentation and a first-trimester abortion requiring dilation and curettage. She has no past medical history. She is currently taking prenatal vitamins and she is allergic to penicillin.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 91 - 94
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Murji, A, Garbedian, K, Thomas, J, Cruickshank, B. Conservative management of cervical ectopic pregnancy. J Obstet Gynaecol Can 2015; 37(11): 1016–20.Google Scholar
Kung, FT, Lin, H, Hsu, TY, et al. Differential diagnosis of suspected cervical pregnancy and conservative treatment with combination of laparoscopy-assisted uterine artery ligation and hysteroscopic endocervical resection. Fertil Steril 2004; 81: 1642–9.Google Scholar
Rubin, IC. Cervical pregnancy. Surg Gynecol Obstet 1911; 13: 625–33.Google Scholar
American Society for Reproductive Medicine. Medical treatment of ectopic pregnancy: a committee opinion. Fertil Steril 2013; 100: 638–44.Google Scholar
Jeng, C, Ko, M, Shen, J. Transvaginal ultrasound-guided treatment of cervical pregnancy. Obstet Gynecol 2007; 109: 1076–82.CrossRefGoogle ScholarPubMed
Hung, T, Shau, W, Hsieh, T, et al. Prognostic factors for an unsatisfactory primary methotrexate treatment of cervical pregnancy: aquantitative review. Hum Reprod 1998; 13(9): 2636–42.Google Scholar
Fylstra, D. Cervical pregnancy: 13 cases treated with suction curettage and balloon tamponade. Am J Obstet Gynecol 2014; 210: 581.e15.CrossRefGoogle ScholarPubMed
Tanos, V, El Akhras, S, Kaya, B. Hysteroscopic management of cervical pregnancy: case series and review of the literature. J Gynecol Obstet Hum Reprod 2019; 48: 247–53.CrossRefGoogle ScholarPubMed
Hu, J, Tao, X, Yin, L, Shi, Y. Successful conservative treatment of cervical pregnancy with uterine artery embolization followed by curettage: areport of 19 cases. BJOG 2016; 123: 97102.Google Scholar
Alammari, R, Thibodeau, R, Harmanli, O. Vaginal hysterectomy for treatment of cervical ectopic pregnancy. Obstet Gynecol 2017; 129: 63–5.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×