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Korean Journal of Obstetrics and Gynecology ; : 1546-1550, 1997.
Article in Korean | WPRIM | ID: wpr-201779

ABSTRACT

Cervical pregnancy is one of most rare form of ectopic pregancy in which the blastocyst implants within the cervical canal below the internal os of uterine cervix. Most cervical pregnancy result in early spontaneous abortion, complicated by severe hemorrhage frm the eroded blood vessels within the cervix. Because of fear of rofuse hemorrhage, abdominal hysterectomy has been historically considered the standard therapy. However, a number of new therapies have been aimed at uterine preservation, conservative treatment is highly desirable for young women who want to be pregnancy in the future. Methotrexate has been utilized recently for the successful management of tubal, interstitial, and cervical ectopic gestations. We report a case of a cervical preganncy that was successfully managed with methotrexate and leucovorine.


Subject(s)
Female , Humans , Pregnancy , Abortion, Spontaneous , Blastocyst , Blood Vessels , Cervix Uteri , Cytochrome P-450 CYP1A1 , Hemorrhage , Hysterectomy , Leucovorin , Methotrexate
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