Modification of conservative treatment of heterotopic cervical pregnancy by Foley catheter balloon fixation with cerclage sutures at the level of the external cervical os: a case report.

Journal of Medical Case Reports
Tomislav HafnerBerivoj Miskovic

Abstract

Conservative treatment of a heterotopic cervical pregnancy was performed with a modification of the fixation of a Foley catheter at the level of the external cervical os, followed by the ligature of the descending cervical branches of the uterine arteries and systemic methotrexate application. A 34-year-old Caucasian woman was diagnosed with double gestation after 6 weeks of in vitro fertilization treatment. A gynecological examination and color Doppler ultrasound scan revealed intra-uterine and cervical gestational sacs both containing live fetuses. A Foley catheter balloon was inserted into the cervical canal, inflated and fixed by a cerclage suture at the level of the external cervical os, followed by ligation of the descending cervical branches of the uterine arteries. Systemic methotrexate was applied. Three days after removal of the Foley catheter, an evacuation of the intra-uterine gestational sac was performed. Hemorrhage from the implantation site was controlled immediately and a pregnancy termination was successfully performed. The procedure was uneventful and our patient was discharged with a preserved uterus. Conservative treatment of cervical pregnancy using a Foley catheter balloon is more efficacious if the Foley...Continue Reading

References

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Citations

Aug 8, 2014·Obstetrical & Gynecological Survey·Mohamed Maged HosniRashid Mumtaz
Feb 26, 2020·JAAPA : Official Journal of the American Academy of Physician Assistants·Katie Hewlett, Christopher M Howell
Jun 1, 2018·Clinical Practice and Cases in Emergency Medicine·Asma TariqVicken Y Totten
Jan 24, 2013·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Fatma Uysal, Ahmet Uysal

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Methods Mentioned

BETA
hysterectomy

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