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Review
. 2019 Aug 22;23(3):290-296.
doi: 10.5935/1518-0557.20190017.

Heterotopic cervical pregnancy after in-vitro fertilization - case report and literature review

Maria Eduarda Furtado Fernandes Terra  1 , Luiz Augusto Giordano  1 , Mário Vicente Giordano  1 , Renato Augusto Moreira de Sá  2 , Fernanda Campos  1 , Isaac Moise Yadid  3 , Felipe de Oliveira Pinto  1
Affiliations
Review

Heterotopic cervical pregnancy after in-vitro fertilization - case report and literature review

Maria Eduarda Furtado Fernandes Terra et al. JBRA Assist Reprod. .

Abstract

Heterotopic cervical pregnancy is an uncommon condition, with a rising incidence due to the increasing number of pregnancies resulting from in-vitro fertilization (IVF). Although it is associated with maternal-fetal complications, there is no consensus in the literature about the best approach for this condition. This study aims to report a case of cervical heterotopic gestation after IVF in which the intrauterine pregnancy was preserved, with spontaneous elimination of the cervical gestational sac after patient sedation and introduction of the vaginal speculum. In addition, we reviewed the literature on the subject, which demonstrated that most cases have a favorable outcome, especially after treatment with surgical excision of the cervical pregnancy. The growing body of evidence is still scarce to define the best treatment for this condition.

Keywords: cervix uteri; heterotopic; in vitro fertilization; pregnancy.

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Figures

Figure 1
Figure 1
Transvaginal US (10 weeks of gestational age)
Figure 2
Figure 2
Trophoblastic tissue from cervical os
Graph 1
Graph 1
Heterotopic cervical pregnancies outcome (n=38)
Graph 2
Graph 2
Treatment of heterotopic cervical pregnancies resulting in IU pregnancy maintenance (n=27)
See this image and copyright information in PMC

References

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