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Human Reproduction, Vol. 14, No. 2, 553-555, February 1999
© 1999 European Society of Human Reproduction and Embryology

Case Report: Uterine artery embolization – a successful treatment to control bleeding cervical pregnancy with a simultaneous intrauterine gestation

L. Honey1, A. Leader and P. Claman

Department of Obstetrics and Gynecology, Division of Reproductive Medicine, Ottawa Hospital, Ottawa, Ontario, Canada

A case of a woman suffering from a bleeding heterotopic cervical pregnancy is described. The concurrent cervical pregnancy and intrauterine gestation were diagnosed by ultrasound and bleeding was initially controlled with selective fluoroscopic uterine artery embolization. A selective fetal reduction was done with ultrasound-guided intracardiac potassium chloride. Uterine artery embolization has been used successfully to control haemorrhage in cervical pregnancies when the main goal was to allow preservation of the uterus, thus maintaining potential fertility. This is the first report of arterial embolization used to control bleeding for maintaining a concurrent intrauterine heterotopic pregnancy in an in-vitro fertilization patient. Unfortunately, subsequent conservative measures led to undesired outcome. This procedure initially controlled the bleeding without disrupting the intrauterine fetal cardiac activity.

Key words: arterial embolization/cervical pregnancy/heterotopic pregnancy/selective fetal reduction

1 To whom correspondence should be addressed


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