Journal article
Acute Hemorrhage Related to a Residual Cervical Pregnancy: Management with Curettage, Tamponade, and Cerclage
Journal of minimally invasive gynecology, v 20(6), pp 907-911
Nov 2013
PMID: 23876387
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Cervical ectopic pregnancy is uncommon, with no universally accepted protocol for conservative management of acute hemorrhage due to residual cervical ectopic pregnancy. Herein is presented the case of a 33-year-old woman with profuse vaginal bleeding 3 months after receiving treatment including intraamniotic potassium chloride injection, systemic methotrexate, and uterine artery embolization because of a cervical ectopic pregnancy. A residual cervical pregnancy was suspected. Hemorrhage was controlled using curettage, tamponade with a Bakri balloon, and cerclage. The balloon and cerclage were removed on postoperative day 2, with no recurrence of symptoms. Our experience suggests that a combination of curettage, balloon tamponade, and cerclage may be considered in the management of cervical ectopic pregnancies with acute hemorrhage, in particular in patients desiring future childbearing.
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Details
- Title
- Acute Hemorrhage Related to a Residual Cervical Pregnancy: Management with Curettage, Tamponade, and Cerclage
- Creators
- Nigel Pereira - Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, PennsylvaniaIrene Grias - Drexel UniversitySarah E. Foster - Drexel UniversityCarl R. Della Badia - Drexel University
- Publication Details
- Journal of minimally invasive gynecology, v 20(6), pp 907-911
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]; Obstetrics and Gynecology
- Web of Science ID
- WOS:000327103800033
- Scopus ID
- 2-s2.0-84886844458
- Other Identifier
- 991019238707904721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Obstetrics & Gynecology