AI Article Synopsis
- Cervical ectopic pregnancies (CEPs) are rare and dangerous, with unclear causes and no standard treatment protocol, making timely intervention critical for successful outcomes.
- This case study details a 42-year-old woman with CEP who initially received two doses of intramuscular methotrexate (MTX) but did not respond; subsequently, spontaneous expulsion occurred after lidocaine was administered.
- The paper suggests that hydrodissection after systemic MTX may offer a new treatment approach for CEP, and calls for more research to better understand the mechanisms involved in pregnancy expulsion and the efficacy of hydrodissection.
Article Abstract
Cervical ectopic pregnancies (CEPs) are rare and life-threatening diagnoses. Risk factors have been associated with CEPs, yet their etiology and pathogenesis remain unknown. Timely intervention is vital for successful outcomes, yet it is challenged as there is no standardized approach to treatment. We present the case of a 42-year-old woman diagnosed with CEP following five weeks and one day of amenorrhea. The patient was treated with a two-dose regimen of intramuscular methotrexate (MTX) but failed to respond. Ultrasound-guided intrasac MTX injection was considered a secondary treatment. However, spontaneous expulsion was observed after administering lidocaine at different cervical points. Hydrodissection following systemic MTX could present a novel alternative for treating CEP. Expulsion of pregnancy after hydrodissection could be associated with tissue necrosis and/or destabilized implantation of pregnancy, secondary to the effects of MTX. Further research is vital for evaluating the underlying mechanisms for expulsion and the role of hydrodissection following MTX in treating CEP.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10798570 | PMC |
| http://dx.doi.org/10.7759/cureus.52556 | DOI Listing |
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