Abstract
IntroductionThe ultimate treatment approach for cervical ectopic pregnancy remains controversial. Gestational age, serum β-hCG levels, fetal cardiac activity presence and the patient’s claim for fertility preservation are the major challenges for method of choice in each individual case. Medical treatment may be a favorable option for the treatment of late diagnosed cases, as well as the early ones. Presentation of caseIn this case report, we aim to present a case of 10 4/7 weeks of cervical ectopic pregnancy successfully treated with transvaginal ultrasound-guided local and systemic methotrexate injection. DiscussionThe case presented here is exceptional because even though the advanced gestational age, presence of fetal cardiac activity and high serum β-hCG values, the abortion has occurred successfully. Conservative treatment without any need of further surgical intervention was sufficient for full recovery with the preservation of reproductive capacity. ConclusionIn conclusion, transvaginal ultrasound guided local and systemic methotrexate injection may be performed successfully for the cases of advanced gestational age with fetal cardiac activity and high serum β-hCG levels.
Highlights
The ultimate treatment approach for cervical ectopic pregnancy remains controversial
The classical treatment modality is hysterectomy which is an unfavorable approach in terms of fertility preservation
In this report which is prepared in line with SCARE criteria [14], we present a case of 11 weeks old cervical ectopic pregnancy with fetal heart activity for discussion of the conservative management success
Summary
The ultimate treatment approach for cervical ectopic pregnancy remains controversial. Gestational age, serum -hCG levels, fetal cardiac activity presence and the patient’s claim for fertility preservation are the major challenges for method of choice in each individual case. PRESENTATION OF CASE: In this case report, we aim to present a case of 10 4/7 weeks of cervical ectopic pregnancy successfully treated with transvaginal ultrasound-guided local and systemic methotrexate injection. DISCUSSION: The case presented here is exceptional because even though the advanced gestational age, presence of fetal cardiac activity and high serum -hCG values, the abortion has occurred successfully. CONCLUSION: In conclusion, transvaginal ultrasound guided local and systemic methotrexate injection may be performed successfully for the cases of advanced gestational age with fetal cardiac activity and high serum -hCG levels
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