Korean J Obstet Gynecol.  1998 Nov;41(11):2890-2894.

A Case of Cervical Pregnancy treated by Intraamniotic Injection of Methotrexate Guided by Transabdominal Ultrasonography

• Kim JH
• Kim YI
• Cho JC
• Sin OC
• Kang CS
• Ahn KB
• Wang YM
• Park JK

Abstract

Cervical pregnancy is a rare form of ectopic gestation and it can cause serious bleeding, shock and death. Although hysterectomies are still performed due to massive hemorrhages, there are some conservative approaches to cervical pregnancies to conserve fertility. Methotrexate is a very useful agent in the management of trophoblastic disease, and has been utilized recently for the successful management of tubal, interstitial, and cervical ectopic gestations. We report a case of viable cervical pregnancy treated successfully with intraamniotic injection of methotrexate guided by transabdominal ultrasonography.

Keyword

Cervical pregnancy, Methotrexate; Intraamniotic injection

MeSH Terms

Fertility
Hemorrhage
Hysterectomy
Methotrexate*
Pregnancy*
Shock
Trophoblasts
Ultrasonography*
Methotrexate