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

Fertil Steril. 2004 Apr;81(4):1130-2. doi: 10.1016/j.fertnstert.2003.09.052.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Abortifacient Agents, Nonsteroidal / administration & dosage*
  • Adult
  • Cervix Uteri
  • Drug Administration Schedule
  • Female
  • Humans
  • Methotrexate / administration & dosage*
  • Pregnancy
  • Pregnancy, Ectopic / diagnostic imaging*
  • Pregnancy, Ectopic / surgery*
  • Suction*
  • Surgery, Computer-Assisted
  • Treatment Outcome
  • Ultrasonography

Substances

  • Abortifacient Agents, Nonsteroidal
  • Methotrexate