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Journal of Obstetrics and Gynaecology Volume 43, 2023 - Issue 1
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Case Report

Intrasaccular methotrexate treatment of cervical pregnancies maintains fertility: a case series

Otto Hugo Valdés-Martíneza Centro Universitario de Medicina Reproductiva, Departamento de Ginecología y Obstetricia, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, N.L., México
,
Luis Humberto Sordia-Hernándeza Centro Universitario de Medicina Reproductiva, Departamento de Ginecología y Obstetricia, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, N.L., México
,
María Ofelia Sordia-Piñeyroa Centro Universitario de Medicina Reproductiva, Departamento de Ginecología y Obstetricia, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, N.L., México
,
Jesús Dante Guerra-Lealb Centro Universitario de Imagen Diagnostica, Departamento de Radiología e Imagen, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”. Universidad Autónoma de Nuevo León, Monterrey, N.L., México
,
Selene M. García-Lunaa Centro Universitario de Medicina Reproductiva, Departamento de Ginecología y Obstetricia, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, N.L., México
&
Felipe Arturo Morales-Martíneza Centro Universitario de Medicina Reproductiva, Departamento de Ginecología y Obstetricia, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, N.L., MéxicoCorrespondence[email protected]
Article: 2130207 | Published online: 14 Oct 2022

References

  • ACOG Practice Bulletin No. 193. 2018. Obstetrics & Gynecology, 131 (3), e91–e103.
  • Dilday, E., Douglas, C. and Brennan, K., 2021. Single-dose intramuscular methotrexate for treatment of cervical ectopic pregnancy: A case report. Case Reports in Women’s Health, 31, e00340.
  • Elmokadem, A.H., et al., 2019. Uterine artery embolization and methotrexate infusion as sole management for caesarean scar and cervical ectopic pregnancies: a single-center experience and literature review. Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes, 70 (3), 307–316.
  • Hosni, M.M., Herath, R.P. and Rashid, M., 2014. Diagnostic and therapeutic dilemmas of cervical ectopic pregnancy. Obstetrical & Gynecological Survey, 69 (5), 261–276.
  • Kirk, E., ESHRE working group on Ectopic Pregnancy., et al., 2020. Terminology for describing normally sited and ectopic pregnancies on ultrasound: ESHRE recommendations for good practice. Human Reproduction Open, 2020 (4), hoaa055.
  • Mangino, F.P., et al., 2014. Successful rescue hysteroscopic resection of a cervical ectopic pregnancy previously treated with methotrexate with no combined safety precautions. Clinical and Experimental Obstetrics & Gynecology, 41 (2), 214–216. [Accessed 1 December 2021].
  • Monteagudo, A., et al., 2019. Minimally invasive treatment of cesarean scar and cervical pregnancies using a cervical ripening double balloon catheter: expanding the clinical series. Journal of Ultrasound in Medicine: official Journal of the American Institute of Ultrasound in Medicine, 38 (3), 785–793.
  • Oleksik, T.P., et al., 2021. The use of super-selective uterine artery branch embolization and methotrexate in cervical pregnancy - case reports and literature review. Annals of Agricultural and Environmental Medicine: AAEM, 28 (3), 521–524.
  • Ozcivit, I.B., et al., 2020. Conservative management of 11 weeks old cervical ectopic pregnancy with transvaginal ultrasound-guided combined methotrexate injection: Case Report and Literature Review. International Journal of Surgery Case Reports, 67, 215–218.
  • Schivardi, G., et al., 2021. Successful transvaginal microwave ablation of a heterotopic cervical pregnancy. a case report. Reproductive Sciences, 28 (1), 27–30.
  • Stabile, G., et al., 2020. Ectopic cervical pregnancy: treatment route. Medicina, 56 (6), 293.
  • Yamaguchi, M., et al., 2017. Treatment of cervical pregnancy with ultrasound-guided local methotrexate injection. Ultrasound in Obstetrics & Gynecology: The Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, 50 (6), 781–787.

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