Cervical Ectopic Pregnancy: A Management Dilemma.

Shafiee MN, and Norliza I, and Lim PS, and Shuhaila A, and Mohd Hashim O, (2012) Cervical Ectopic Pregnancy: A Management Dilemma. Journal of Surgical Academia, 2 (1). pp. 30-33. ISSN 2231-7481

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A 28-year-old G3P1+1 at 6 weeks period of amenorrhea with a previous Caesarean section presented with per vaginal bleeding. A cervical ectopic pregnancy was confirmed by a transvaginal scan. An intramuscular methotrexate was given followed by intracervical route due to poor decline of the serum βHCG. However, due to persistent increment of serum βHCG, an additional four doses of intramuscular methotrexate with folinic acid rescue were administered and she responded well to the regime. Unfortunately, following the last dose, she developed an episode of excessive per vaginal bleeding which required suction and curettage of the cervical canal. A Foley‘s catheter balloon was placed intracervically as a tamponade and the bleeding was successfully arrested.

Item Type:Article
Keywords:Cervical ectopic, intracervical balloon, methotrexate.
Journal:Journal of Surgical Academia
ID Code:5185
Deposited By: Mr. Muhammad Wafi -
Deposited On:22 Jun 2012 03:17
Last Modified:14 Dec 2016 06:37

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