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Delayed spontaneous expulsion of a cervical ectopic pregnancy: a case report

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Authors
Einarsson, Jon Ivar
Michel, Stephanie
Young, Amy E
Issue Date
2005-04-01

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Citation
J Minim Invasive Gynecol. 2005, 12(2):165-7
Abstract
Cervical ectopic pregnancy is an uncommon event. Modern diagnostic and treatment options provide an opportunity for conservative treatment of this condition. A case of a profuse hemorrhage associated with delayed spontaneous expulsion of a cervical ectopic pregnancy is described, and the management is discussed. In this patient, the cervical ectopic pregnancy was treated successfully using systemic methotrexate and selective uterine artery embolization. The patient returned 1 week later with spontaneous expulsion of the ectopic pregnancy associated with profuse hemorrhage. The bleeding subsided following tamponade using a transcervical Foley catheter. We conclude that conservative treatment of cervical ectopic pregnancy is feasible, with careful posttreatment surveillance.
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http://www.sciencedirect.com/science/article/B7MDF-4G1WFTR-V/2/f430c5cb67c56a8d3021f31e35a77bef
ae974a485f413a2113503eed53cd6c53
10.1016/j.jmig.2005.01.007
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