Conservative treatment of cervical ectopic pregnancy with transvaginal ultrasound-guided aspiration and single-dose methotrexate.

Fertil Steril

Department of Obstetrics and Gynecology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

Published: April 2004

Objective: To present a case of cervical ectopic pregnancy successfully treated with ultrasound-guided aspiration and single-dose methotrexate administered systemically.

Design: Case report.

Setting: University hospital.

Patient(s): A 27-year-old nulliparous woman with a cervical ectopic pregnancy.

Intervention(s): Transvaginal ultrasound-guided aspiration of the cervical ectopic pregnancy followed by single-dose methotrexate administered systemically.

Main Outcome Measure(s): Recovery of the patient, successful conservative treatment of the cervical ectopic pregnancy, with preservation of the uterus.

Result(s): The cervical ectopic pregnancy was successfully aborted, and the reproductive capability of the patient was preserved.

Conclusion(s): Transvaginal ultrasound-guided aspiration in combination with single-dose methotrexate administered systemically can be safely used to treat cervical ectopic pregnancies.

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http://dx.doi.org/10.1016/j.fertnstert.2003.09.052DOI Listing

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