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  • Title: Treatment of cervical pregnancy with cerclage, curettage and balloon tamponade. A report of three cases.
    Author: Fylstra DL, Coffey MD.
    Journal: J Reprod Med; 2001 Jan; 46(1):71-4. PubMed ID: 11209638.
    Abstract:
    BACKGROUND: Cervical pregnancy is a rare form of ectopic pregnancy, historically requiring hysterectomy to control life-threatening hemorrhage. However, with early diagnosis, conservative procedures can preserve the uterus and fertility. CASES: Three cases of cervical pregnancy were treated successfully with curettage. Two cases utilizing precurettage and postcurettage hemostatic techniques were treated with curettage alone. A third case, not employing precurettage hemostatic maneuvers, required uterine artery embolization to control bleeding and avoid hysterectomy. CONCLUSION: Curettage alone, when preceded by cervical infiltration with a vasoconstricting agent, placement of a cerclage suture high on the cervix and followed by cervical canal tamponade with a Foley catheter balloon, can successfully treat early cervical pregnancy.
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