Double Balloon Cervical Ripening Catheter for Control of Massive Hemorrhage in a Cervical Ectopic Pregnancy

Cervical pregnancy can be complicated by perfuse vaginal bleeding. Mechanical compression directed at tamponing the cervical vessels can control hemostasis. There are several types of balloon catheters that have been described for cervical compression. However use of a double balloon catheter is a n...

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Bibliographic Details
Published inCase reports in obstetrics and gynecology Vol. 2017; no. 2017; pp. 1 - 4
Main Authors Lakhi, Nisha, Moretti, Michael, Reilly, James, Zambrano, Nabila
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2017
Hindawi
Hindawi Limited
Wiley
Subjects
Case Report
Catheters
Ectopic pregnancy
Emergency medical care
Hemorrhage
Hysterectomy
Methotrexate
Pregnancy complications
Pregnant women
Veins & arteries
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Summary:Cervical pregnancy can be complicated by perfuse vaginal bleeding. Mechanical compression directed at tamponing the cervical vessels can control hemostasis. There are several types of balloon catheters that have been described for cervical compression. However use of a double balloon catheter is a novel approach for cervical tamponade, as one balloon is positioned below the external cervical os and the second balloon is situated above in the internal cervical os. This compresses the cervix from internal os to external os between the two balloons, forming a “cervical sandwich.” We describe this method of cervical tamponade using a silicone double balloon cervical ripening catheter that rapidly controlled hemorrhage in a patient that failed conservative management with methotrexate.
Bibliography:Academic Editor: Loïc Sentilhes
ISSN:2090-6684
2090-6692
DOI:10.1155/2017/9396075