Cervikal Ectopic Pregnancy: a case report

Yıl 2018, Cilt: 8 Sayı: 1, 67 - 69, 12.04.2018

Çiğdem Kunt İşgüder , Hatice Yılmaz Doğru , Selim Gülücü , Asker Zeki Özsoy , Nurşah Başol

https://doi.org/10.16899/gopctd.414727

Öz

Cervical ectopic
pregnancy which blastocyste  implants in
the endocervical region is a rare form of ectopic pregnancy. Early diagnosis
and treatment are very important due to prevention of mortality and preserving
fertility. In this case, vaginal bleeding while receiving MTX was treated by
cervical curettage instead of invasive procedures and this approach resulted in
the preservation of fertility. This report reviews cervical ectopic pregnancy
within the scope of current literature. 

Anahtar Kelimeler

Cervical ectopic pregnancy , diagnosis , treatment

Servikal Ektopik Gebelik: Olgu Sunumu

Öz

Servikal ektopik
gebelik, blastokistin endoservikal bölgeye implante olması sonucu ortaya çıkan
nadir bir durumdur. Servikal gebeliğin erken tanınması ve tedavisi hayat
kurtarıcı olduğu kadar fertilitenin korunması açısından da önemlidir. Bu olguda
fertilite korunarak,  konservatif tedavi
yöntemi olan sistemik MTX tedavisi esnasında gelişen vajinal kanamayı durdurmak
için invaziv girişimler yapılmadan servikal küretaj ile etkin bir şekilde
kontrol altına alınan servikal ektopik gebelik olgusu literatür eşliğinde
sunulmuştur.

Anahtar Kelimeler

Servikal ektopik gebelik , tanı , tedavi

Kaynakça

• 1. Breen JL. A 21 year survey of 654 ectopic pregnancies. Am J ObstetGynecol 2002; 106: 1004 - 19
• 2. Ushakov FB, Elchalal U, Aceman PJ, Schenker JG. Cervical pregnancy: past and future. Obstet Gynecol Surv. 1997;52: 45-59.
• 3.Vela G, Tulandi T. Cervical pregnancy: the importance of early diagnosis and treatment. J Minim Invasive Gynecol. 2007;14: 481-4.
• 4. Frates MC, Benson CB, Doubilet PM. Cervical ectopic pregnancy: results of conservative treatment. Radiology 1994;19: 773-5.
• 5.Yitzhak M, Orvieto R, Nitke S, Neuman-Levin M, et al. Cervical pregnancy a conservative stepwise approach. Hum Reprod 1999;14: 847-9
• 6.Jeng CJ, Ko ML, Shen J. Transvaginal ultrasound-guided treatment of cervical pregnancy. Obstet Gynecol. 2007;109: 1076-82.
• 7.Ginsburg ES, Frates MC, Rein MS, Fox JH, et al. Friedman AJ. Early diagnosis and treatment of cervical pregnancy in an in vitro fertilization program. Fertil Steril. 1994;61: 966-9.
• 8.Jung SE, Byun JY, Lee JM, Choi BG, et al. Characteristic MR findings of cervical pregnancy. J MagnReson Imaging 2001;13: 918- 22.
• 9.Sherer DM, Dalloul M, Santoso P, Stimphil R, et al. Complete abortion of a nonviable cervical pregnancy following methotrexate treatment. Am J Perinatol. 2004 May;21: 223-6.
• 10.Kirk E, Condous G, Haider Z, Syed A, et al. The conservative management of cervical ectopic pregnancies. Ultrasound Obstet Gynecol 2006;27: 430-7.