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Successful conservative management of a large 12-week-old cervical ectopic pregnancy in a nulliparous woman: a case report

Cervical ectopic pregnancy (CEP) accounts for less than 0.1% of all ectopic pregnancies. CEP is associated with high morbidity and mortality potential due to the associated life-threatening hemorrhage. When it is large, detected late, and occurs in a nulliparous woman, management is more challenging...

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Detalles Bibliográficos
Autores principales: Annan, John Jude Kweku, Ansah-Asamoah, Stephen, Agyei, Benedict Apaw, Quarshie, Eric Lartey, Ankobea, Frank, Vanderpuye, Sylvia, Oteng, Collins, Ninimiya, Sebastian Yidana, Abaidoo, Nana Esi Abedua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504439/
https://www.ncbi.nlm.nih.gov/pubmed/37719059
http://dx.doi.org/10.11604/pamj.2023.45.107.35701
Descripción
Sumario:Cervical ectopic pregnancy (CEP) accounts for less than 0.1% of all ectopic pregnancies. CEP is associated with high morbidity and mortality potential due to the associated life-threatening hemorrhage. When it is large, detected late, and occurs in a nulliparous woman, management is more challenging as it requires the need to preserve the uterus. We present a case of a 33-year-old nulliparous woman with a large live cervical ectopic pregnancy at 12 weeks + 1 day gestation and a very high serum β-HCG of 126,750 Miu/ml. She was successfully managed with suction curettage and cervical encerclage tamponade in order to preserve the uterus. The treatment was associated with significant hemorrhage and a prolonged period of follow-up. In low-resource settings, uterine-conserving management of CEP can be challenging, and curettage with cervical encerclage tamponade can be a cost-effective treatment modality even though it is associated with significant haemorrhage and prolonged treatment period.