Fertility Preservation in Heterotopic Cervical Pregnancy: What Is the Best Procedure?

• Published in: Fetal diagnosis and therapy Vol. 30; no. 3; pp. 229 - 233
• Main Authors: Sánchez-Ferrer, María Luisa, Machado-Linde, Francisco, Pertegal-Ruiz, Miriam, García-Sánchez, Francisco, Pérez-Carrión, Antonio, Capel-Aleman, Antonio, Parilla-Paricio, Juan José, Abad-Martínez, Lorenzo
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland Karger 01.01.2011; S. Karger AG
• Subjects: Adult; Biological and medical sciences; Cervix Uteri - diagnostic imaging; Delivery. Postpartum. Lactation; Diseases of mother, fetus and pregnancy; Female; Fertility Preservation - methods; Fertilization in Vitro; General aspects; Gynecology. Andrology. Obstetrics; Humans; Medical sciences; Methotrexate - administration & dosage; Methotrexate - therapeutic use; Metrorrhagia - diagnostic imaging; Metrorrhagia - etiology; Metrorrhagia - therapy; Novel Insights from Clinical Practice; Pregnancy; Pregnancy, Ectopic - diagnostic imaging; Pregnancy, Ectopic - pathology; Pregnancy, Ectopic - therapy; Pregnancy. Fetus. Placenta; Risk Factors; Smoking; Ultrasonography; Uterine Artery Embolization; Methotrexate; Heterotopic cervical pregnancy; Embolization; Antineoplastic agent; Pregnancy disorders; Preservation; Neonatology; Instrumentation therapy; Uterine cervix; Antifolate; Medicine; Antimetabolic; Fertility; Antirheumatic agent; Ectopic pregnancy
• ISSN: 1015-3837; 1421-9964
• DOI: 10.1159/000329307

We describe a patient who underwent assisted reproduction techniques and was diagnosed with heterotopic cervical pregnancy, and then discuss the management of this entity, which is rare and has no standard protocols. Treatment consisted of intra-arterial methotrexate (50 mg/m 2 body surface area) and simultaneous selective embolization of uterine arteries. The literature is also reviewed to identify other approaches and outcomes.