Conservative management of cervical ectopic pregnancy: A case report and review of literature

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dc.contributor.authorKiyak Çağlayan, Emel
dc.contributor.authorÜstün, Batuhan
dc.date.accessioned2024-10-29T17:43:41Z
dc.date.available2024-10-29T17:43:41Z
dc.date.issued2024
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractEctopic pregnancies, occurring in approximately 1-2% of cases, are typically found within the fallopian tube. Among these instances, cervical ectopic pregnancies constitute less than 1% of cases, with the majority observed within the endocervical canal. This study presents a case of cervical ectopic pregnancy following in vitro fertilization (IVF), treated with a single dose of methotrexate. A 23-year-old woman who has been married for 4 years with a history of infertility presents with complaints of abdominal pain for 2 days and vaginal spotting as bleeding, following her last menstrual period, at 5 weeks and 3 days of pregnancy. In her medical history, the patient mentions having low ovarian reserve (AMH 6.73 pmol/L), which led to in vitro fertilization (IVF) transfer 22 days ago. Due to the patient's young age and it being her first pregnancy, medical treatment with methotrexate (MTX) was decided. MTX was administered at a dose of 50 mg/m2 (100 mg of intravenous MTX in 100 ml of 0.9% NaCl). Experiences in cervical ectopic pregnancies predominantly stem from case-based experiences. Thus, when planning treatment for cervical ectopic pregnancy, a conservative or minimally invasive approach may be more appropriate, tailored to the patient's characteristics whenever possible. © 2024 Ondokuz Mayis Universitesi. All rights reserved.
dc.identifier.doi10.52142/omujecm.41.2.38
dc.identifier.endpage449
dc.identifier.issn1309-4483
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85197631883
dc.identifier.scopusqualityQ4
dc.identifier.startpage446
dc.identifier.urihttps://doi.org/10.52142/omujecm.41.2.38
dc.identifier.urihttps://hdl.handle.net/20.500.11776/12560
dc.identifier.volume41
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherOndokuz Mayis Universitesi
dc.relation.ispartofJournal of Experimental and Clinical Medicine (Turkey)
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectcervical
dc.subjectectopic pregnancy
dc.subjectmedical treatment
dc.subjectmethotrexate
dc.titleConservative management of cervical ectopic pregnancy: A case report and review of literature
dc.typeArticle

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