IJMDC. 2019; 3(7): 632-635

Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report

Authors: Mai Mokhtar Yousuf, Gamal Mohamed Elaswally.

ABSTRACT

Background: Cervical pregnancy is a rare ectopic pregnancy caused due to implantation of the ovum in the endocervical canal. In the past, early diagnosis for such condition was not possible as a result this condition often was presented lately to the clinics with life-threatening hemorrhage that frequently required a hysterectomy. At present, there has been tremendous development in the medical field which led to early diagnosis of ectopic pregnancy using ultrasonography (U/S) and sensitive serum 0-hCG assay. Such techniques allow a more conservative therapeutic approach resulting in low morbidity and mortality rates. Case presentation: A 38-year-old woman, gravida 2, para 1, was presented with painless vaginal bleeding. Early cervical pregnancy was diagnosed using transvaginal U/S. Intramuscular methotrexate (IM MTX/) therapy was started without success an intra-amniotic injection of MTX was performed under U/S guidance. Pregnancy was terminated successfully, without complications. Conclusions: Local MTX is an effective and safe method.

Keywords:
Cervical pregnancy, methotrexate, conservative treatment


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Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report


Authors
Mai Mokhtar Yousuf
Madinah Maternity and Children Hospital, Madinah, Saudi Arabia
PubMed articlesGoogle scholar articles

Gamal Mohamed Elaswally
Madinah Maternity and Children Hospital, Madinah, Saudi Arabia
PubMed articlesGoogle scholar articles


Correspondence to:
. Madinah Maternity and Children Hospital, Madinah, Saudi Arabia ; dr.m_y@live.com

Publication history
Published online 01 Jan 1970
Received 23 Jan 2019
Accepted 05 Feb 2019
Published in print 04 Apr 2019

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Pubmed Style

Yousuf MM, Elaswally GM. Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report. IJMDC. 2019; 3(7): 632-635. doi:10.24911/IJMDC.51-1548196372


Web Style

Yousuf MM, Elaswally GM. Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report. http://www.ijmdc.com/?mno=27562 [Access: October 18, 2019]. doi:10.24911/IJMDC.51-1548196372


AMA (American Medical Association) Style

Yousuf MM, Elaswally GM. Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report. IJMDC. 2019; 3(7): 632-635. doi:10.24911/IJMDC.51-1548196372


Vancouver/ICMJE Style

Yousuf MM, Elaswally GM. Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report. IJMDC. (2019), [cited October 18, 2019]; 3(7): 632-635. doi:10.24911/IJMDC.51-1548196372


Harvard Style

Yousuf, M. M. & Elaswally, . G. M. (2019) Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report. IJMDC, 3 (7), 632-635. doi:10.24911/IJMDC.51-1548196372


Turabian Style

Yousuf, Mai Mokhtar, and Gamal Mohamed Elaswally. 2019. Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report. International Journal of Medicine in Developing Countries, 3 (7), 632-635. doi:10.24911/IJMDC.51-1548196372


Chicago Style

Yousuf, Mai Mokhtar, and Gamal Mohamed Elaswally. "Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report." International Journal of Medicine in Developing Countries 3 (2019), 632-635. doi:10.24911/IJMDC.51-1548196372


MLA (The Modern Language Association) Style

Yousuf, Mai Mokhtar, and Gamal Mohamed Elaswally. "Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report." International Journal of Medicine in Developing Countries 3.7 (2019), 632-635. Print. doi:10.24911/IJMDC.51-1548196372


APA (American Psychological Association) Style

Yousuf, M. M. & Elaswally, . G. M. (2019) Cervical pregnancy successfully treated with US-guided intra-amniotic Methotrexate injection after the failure of IM Methotrexate: a case report. International Journal of Medicine in Developing Countries, 3 (7), 632-635. doi:10.24911/IJMDC.51-1548196372


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