Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Mahdavi, Atossa, Aleyasin, Ashraf, Sheibani, Nazanin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Knowledge E 2019
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
_version_ 1783447818697965568
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
work_keys_str_mv AT mahdaviatossa precurettagecerclageinaviabletripletcervicalpregnancyacasereportandreviewofliterature
AT aleyasinashraf precurettagecerclageinaviabletripletcervicalpregnancyacasereportandreviewofliterature
AT sheibaninazanin precurettagecerclageinaviabletripletcervicalpregnancyacasereportandreviewofliterature