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Cervical Ectopic Pregnancy: A Management Dilemma
Journal of Surgical Academia ; : 30-33, 2012.
Article in English | WPRIM | ID: wpr-629231
ABSTRACT
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.

Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: Journal of Surgical Academia Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: Journal of Surgical Academia Year: 2012 Type: Article