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. 2005 Jul 28;4(3):221-223.
doi: 10.1111/j.1447-0578.2005.00109.x. eCollection 2005 Sep.

Heterotopic cervical pregnancy with preservation of the intrauterine gestation

Ritsuo Honda  1 , Kohei Matsuura  1 , Hitoshi Okamura  1
Affiliations

Heterotopic cervical pregnancy with preservation of the intrauterine gestation

Ritsuo Honda et al. Reprod Med Biol. .

Abstract

We present a case of heterotopic cervical pregnancy where intrauterine gestation was preserved successfully. A 40-year-old Japanese woman presented with heterotopic cervical pregnancy after intracytoplasmic sperm injection with elongated spermatid. An ultrasound examination showed heterotopic cervical pregnancy. Intrauterine gestation was preserved successfully with the use of local vasopressin injection, followed by curettage of cervical implantation and local methotrexate injection. The cervical pregnancy resolved, and a healthy full-term infant was delivered. When early diagnosis of a heterotropic cervical pregnancy is made, selective reduction of a cervical implantation might allow preservation of the intrauterine gestation, without hysterectomy. (Reprod Med Biol 2005; 4: 221-223).

Keywords: cervical; heterotopic pregnancy; selective embryo reduction.

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Figures

Figure 1
Figure 1
Vaginal ultrasonography of the uterus shows simultaneous intrauterine (short arrow) and cervical (long arrow) pregnancies.
Figure 2
Figure 2
Vaginal ultrasonography of the uterus after operative procedure shows complete removal of cervical implantation.
See this image and copyright information in PMC

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