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Pre-curettage cerclage in a viable triplet cervical pregnancy: A case report and review of literature
BACKGROUND: Cervical ectopic pregnancy (CEP) is a rare and dangerous form of ectopic pregnancy in which the blastocyst is installed within the endo-cervical canal. CEP diagnosis requires special awareness to evaluate patient precisely. Individualizing controversial medical and surgical management st...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Knowledge E
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6718882/ https://www.ncbi.nlm.nih.gov/pubmed/31508578 http://dx.doi.org/10.18502/ijrm.v17i7.4864 |
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author | Mahdavi, Atossa Aleyasin, Ashraf Sheibani, Nazanin |
author_facet | Mahdavi, Atossa Aleyasin, Ashraf Sheibani, Nazanin |
author_sort | Mahdavi, Atossa |
collection | PubMed |
description | BACKGROUND: Cervical ectopic pregnancy (CEP) is a rare and dangerous form of ectopic pregnancy in which the blastocyst is installed within the endo-cervical canal. CEP diagnosis requires special awareness to evaluate patient precisely. Individualizing controversial medical and surgical management strategies is of importance in medical practice. CASE: A 35-year-old nulliparous woman on her 9th week of pregnancy was referred to our hospital with vaginal bleeding preliminary misdiagnosed as aborting intrauterine pregnancy. Transvaginal ultrasound revealed an empty uterus and a viable triplet pregnancy just below the level of internal os. Cervical curettage after cerclage suture placement procedure removed conception tissues completely. Consequently, in the next few hours vaginal bleeding decreased to minimal amount and vital signs remained within normal limits and there was no hematocrit change. On follow-up day 32, serum B-HCG became negative. CONCLUSION: CEP diagnosis requires special attention and awareness to evaluate patient precisely along with skillful assessment of possible risk factors. Lifesaving treatment beside fertility preservation was successful with pre-curettage cerclage. |
format | Online Article Text |
id | pubmed-6718882 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Knowledge E |
record_format | MEDLINE/PubMed |
spelling | pubmed-67188822019-09-10 Pre-curettage cerclage in a viable triplet cervical pregnancy: A case report and review of literature Mahdavi, Atossa Aleyasin, Ashraf Sheibani, Nazanin Int J Reprod Biomed Case Report BACKGROUND: Cervical ectopic pregnancy (CEP) is a rare and dangerous form of ectopic pregnancy in which the blastocyst is installed within the endo-cervical canal. CEP diagnosis requires special awareness to evaluate patient precisely. Individualizing controversial medical and surgical management strategies is of importance in medical practice. CASE: A 35-year-old nulliparous woman on her 9th week of pregnancy was referred to our hospital with vaginal bleeding preliminary misdiagnosed as aborting intrauterine pregnancy. Transvaginal ultrasound revealed an empty uterus and a viable triplet pregnancy just below the level of internal os. Cervical curettage after cerclage suture placement procedure removed conception tissues completely. Consequently, in the next few hours vaginal bleeding decreased to minimal amount and vital signs remained within normal limits and there was no hematocrit change. On follow-up day 32, serum B-HCG became negative. CONCLUSION: CEP diagnosis requires special attention and awareness to evaluate patient precisely along with skillful assessment of possible risk factors. Lifesaving treatment beside fertility preservation was successful with pre-curettage cerclage. Knowledge E 2019-07-31 /pmc/articles/PMC6718882/ /pubmed/31508578 http://dx.doi.org/10.18502/ijrm.v17i7.4864 Text en Copyright © 2019 Atossa Mahdavi et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Case Report Mahdavi, Atossa Aleyasin, Ashraf Sheibani, Nazanin Pre-curettage cerclage in a viable triplet cervical pregnancy: A case report and review of literature |
title | Pre-curettage cerclage in a viable triplet cervical pregnancy: A case report and review of literature |
title_full | Pre-curettage cerclage in a viable triplet cervical pregnancy: A case report and review of literature |
title_fullStr | Pre-curettage cerclage in a viable triplet cervical pregnancy: A case report and review of literature |
title_full_unstemmed | Pre-curettage cerclage in a viable triplet cervical pregnancy: A case report and review of literature |
title_short | Pre-curettage cerclage in a viable triplet cervical pregnancy: A case report and review of literature |
title_sort | pre-curettage cerclage in a viable triplet cervical pregnancy: a case report and review of literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6718882/ https://www.ncbi.nlm.nih.gov/pubmed/31508578 http://dx.doi.org/10.18502/ijrm.v17i7.4864 |
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