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  • Title: Uterine artery embolization followed by dilation and curettage for cervical pregnancy.
    Author: Nakao Y, Yokoyama M, Iwasaka T.
    Journal: Obstet Gynecol; 2008 Feb; 111(2 Pt 2):505-7. PubMed ID: 18239001.
    Abstract:
    BACKGROUND: Cervical pregnancy can be a life-threatening condition due to the risk of severe hemorrhage. Progression of ultrasonographic diagnostic technology has allowed the early detection of cervical pregnancy. However, a standard treatment protocol for fertility preservation has not yet been established. CASE: Two women with cervical pregnancy presented with cardiac activity at 6 and 7 weeks of gestation. They were treated with transfemoral uterine artery embolization followed by dilation and curettage with minimal bleeding. One patient gave birth to a healthy neonate 20 months after the procedure. CONCLUSION: Early cervical pregnancies were treated with dilation and curettage after uterine artery embolization. This treatment can be considered as conservative management for patients who desire to preserve their fertility.
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