Transvaginal ligation of the cervical branches of the uterine artery and injection of vasopressin in a cervical pregnancy as an initial step to controlling hemorrhage: a case report

J Reprod Med. 2008 May;53(5):365-8.

Abstract

Background: Hemorrhage from a cervical pregnancy is a time-sensitive matter. Effective temporization measures for the initial management of this hemorrhage have not previously been reported in the literature.

Case: A 43-year-old woman, gravida 0, underwent in vitro fertilization and embryo transfer. She subsequently presented to the office with sudden onset of vaginal hemorrhage due to a cervical pregnancy. Cervical artery sutures were placed, and a cervical vasoconstricting agent was injected, at which point the patient's bleeding stopped. She then underwent successful treatment with dilation and curettage.

Conclusion: Conservative measures to manage hemorrhage due to cervical pregnancy can be initiated, with possible rapid establishment of hemostasis until definitive treatment can be achieved.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cervix Uteri / blood supply*
  • Female
  • Hemostatics / administration & dosage*
  • Humans
  • Injections
  • Ligation / methods
  • Pregnancy
  • Pregnancy, Ectopic / therapy*
  • Suture Techniques*
  • Uterine Hemorrhage / etiology
  • Uterine Hemorrhage / therapy*
  • Vasopressins / administration & dosage*

Substances

  • Hemostatics
  • Vasopressins