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Human Reproduction, Vol. 14, No. 3, 847-849, March 1999
© 1999 European Society of Human Reproduction and Embryology

Case Report: Cervical pregnancy — a conservative stepwise approach

M. Yitzhak1, R. Orvieto1, S. Nitke1, M. Neuman-Levin2, Z. Ben-Rafael1 and A. Schoenfeld1,3

1 Departments of Obstetrics and Gynecology and 2 Radiology, Rabin Medical Center, Beilinson Campus, Petah Tiqva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

A case of cervical pregnancy resistant to intramuscular methotrexate therapy is presented, which was successfully treated by intra-arterial methotrexate followed by selective prophylactic hypogastric artery embolization to avoid aggravating the vaginal bleeding. It is suggested that, in cervical pregnancies in which fertility preservation is desired, a stepwise conservative approach should be applied before resorting to surgical intervention.

Key words: : cervical pregnancy/conservative treatment/intra-arterial embolization/MTX

3 To whom correspondence should be addressed at: Department of Obstetrics and Gynecology, Rabin Medical Center, Beilinson Campus, Petah Tiqva 49 100, Israel


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