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Case Reports
. 2024 Jan 11;16(1):e52125.
doi: 10.7759/cureus.52125. eCollection 2024 Jan.

Cervical Ectopic Pregnancy: Combination Treatment With Multi-Dose Methotrexate Regimen, Uterine Artery Embolization, and Suction Curettage

Larissa L Aroche Gutierrez  1 , Jason Bunn  1 , Gabriele Duvernois  1 , Courtney Baker  1
Affiliations
Case Reports

Cervical Ectopic Pregnancy: Combination Treatment With Multi-Dose Methotrexate Regimen, Uterine Artery Embolization, and Suction Curettage

Larissa L Aroche Gutierrez et al. Cureus. .

Abstract

Cervical ectopic pregnancy is a rare condition associated with significant morbidity. With early ultrasound, fertility preservation options have become more common. No consensus on treatment exists, but many treatment modalities have been reported with good outcomes. This case report exemplifies the advantages of combination treatment for a patient with difficult outpatient follow-up, achieving a rapid resolution without increased morbidity.

Keywords: cervical ectopic; fertility-sparing treatment; multi-dose methotrexate; suction curettage; uterine artery embolization.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Transvaginal pelvic ultrasound at initial presentation showing a cervical ectopic pregnancy.
Figure 2
Figure 2. Transvaginal pelvic ultrasound at representation with trophoblastic tissue at the cervix and marked vascularity.
Figure 3
Figure 3. Transvaginal pelvic ultrasound following multi-dose methotrexate regimen and uterine artery embolization.
See this image and copyright information in PMC

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