Successful Management of Cervical Ectopic Pregnancy with Bilateral Uterine Artery Embolization and Methotrexate

Abstract EN

Cervical ectopic pregnancy (CEP) is a rare form of ectopic pregnancy.

Cases diagnosed early in pregnancy can be managed medically, but more advanced pregnancies often require hysterectomy.

Uterine artery embolization (UAE) is a novel approach to CEP for those who wish to preserve fertility.

Here we present the case of a 44-year-old female with a 2-week history of vaginal bleeding and abdominal pain who was diagnosed with CEP and successfully treated with bilateral UAE (BUAE) in combination with methotrexate.

A 44-year-old female presented to the emergency department with a 2-week history of vaginal bleeding.

Serum beta-hCG was 71,964 mIU/ml.

The transvaginal ultrasound confirmed CEP.

The patient was referred to obstetrics and interventional radiology and ultimately treated with BUAE and methotrexate.

Symptoms resolved quickly and she was discharged after 3 days.