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. 2017 Jan 4:26:3.
doi: 10.11604/pamj.2017.26.3.11055. eCollection 2017.

[Cervical pregnancy at 7 weeks of amenorrhea: challenges of patient management]

[Article in French]
Imane Khachani  1 , Mohamed Hassan Alami  1 , Rachid Bezad  1
Affiliations

[Cervical pregnancy at 7 weeks of amenorrhea: challenges of patient management]

[Article in French]
Imane Khachani et al. Pan Afr Med J. .

Abstract

La grossesse cervicale est une forme extrêmement rare de grossesse ectopique qui engage le pronostic vital maternel en raison du risque important d'hémorragie. Nous rapportons l'observation d’une patiente âgée de 35 ans, ayant accouché une première fois par césarienne et qui a présenté une grossesse cervicale diagnostiquée à 7 semaines d'aménorrhée. La prise en charge au sein de notre structure a fait appel au traitement médical puis chirurgical après échec du premier. L'intérêt de cette observation réside dans la démarche diagnostique et les différentes étapes de prise en charge thérapeutique.

Cervical pregnancy is an extremely rare form of ectopic pregnancy which can be life-threatening due to the high risk of hemorrhage. We report a case of a 35-year-old woman, who first gave birth by caesarean section, with cervical pregnancy diagnosed at 7 weeks of amenorrhea. Patient management within our structure was based on medical treatment followed by surgery after failure of medical treatment. The importance of this study lies in the diagnostic approach and in the different stages of therapeutic management.

Keywords: Cervical pregnancy; caesarean section; hysterotomy; methotrexate.

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Conflict of interest statement

Les auteurs ne déclarent aucun conflit d’intérêts.

Figures

Figure 1
Figure 1
Image échographique transabdominale à 7SA+ 4 jours
See this image and copyright information in PMC

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