Uterin artery embolisation: a rescuer in cervical ectopic pregnancy

BMJ Case Rep. 2021 Sep 13;14(9):e244623. doi: 10.1136/bcr-2021-244623.

Abstract

Cervical ectopic pregnancy is an extremely rare form of ectopic pregnancy with potential risk of massive bleeding and associated morbidity. Managing this condition is challenging for clinicians due to the serious risk to patient and dilemma faced in deciding the appropriate management plan. This case report describes the role of uterine artery embolisation in managing a case of cervical ectopic pregnancy with heavy bleeding per vaginum post methotrexate treatment with falling beta human chorionic gonadotropin (HCG) levels. It highlights the unpredictable nature of this condition and need for prompt intervention in an emergency situation.

Keywords: gynaecology and fertility; obstetrics; pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Abortifacient Agents, Nonsteroidal*
  • Arteries
  • Chorionic Gonadotropin, beta Subunit, Human
  • Female
  • Humans
  • Methotrexate
  • Pregnancy
  • Pregnancy, Ectopic* / therapy
  • Retrospective Studies

Substances

  • Abortifacient Agents, Nonsteroidal
  • Chorionic Gonadotropin, beta Subunit, Human
  • Methotrexate