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Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
versão impressa ISSN 2225-5109versão On-line ISSN 2227-4731
Resumo
ATAMARI-ANAHUI, Noé et al. Cervical ectopic pregnancy. Report of two cases. Rev. Cuerpo Med. HNAAA [online]. 2020, vol.13, n.3, pp.315-318. Epub 30-Set-2020. ISSN 2225-5109. http://dx.doi.org/10.35434/rcmhnaaa.2020.133.747.
Background
Cervical ectopic pregnancy is the implantation of the embryo in the lining of the endocervical canal lining. It represents less than 1% of all ectopic pregnancies.
Case description
We report two patients who come to the emergency room for transvaginal bleeding. The diagnosis of cervical ectopic pregnancy was made by transvaginal ultrasound (7- and 8-weeks’ gestation). Treatment was started with methotrexate (28-year-old patient) and methotrexate-folinic acid (35-year-old patient). Due to the increase in human chorionic gonadotropin hormone, it was decided to perform an abdominal hysterectomy (28-year-old patient) and McDonald-type cervical curettage-cerclage (35-year-old patient). There were no complications after surgery in both patients.
Conclusions
The treatment of cervical ectopic pregnancy is controversial. The most appropriate therapy should be chosen to preserve fertility and avoid complications such as bleeding.
Palavras-chave : cervical pregnancy; ectopic pregnancy; chemotherapy; methotrexate; Peru.
