Obstetrics and Gynecology · 1990 · 31 citations · 0 references
MedicineGynecologyObstetricsObstetric HemorrhageObstetric SurgeryReproductive SurgeryEctopic PregnancyHysterectomy In ObstetricsIntrapartum HemorrhageCervical Ectopic PregnancyEvacuationIntraoperative Hemorrhage ManagementPreoperative Angiographic PlanningPreoperative Embolization
The diagnosis of a cervical ectopic pregnancy is often made intraoperatively in the presence of extensive hemorrhage during attempted evacuation. In some cases, hysterectomy has been the necessary treatment to control bleeding. We report two cases of cervical pregnancy detected by ultra-sound. Before pregnancy termination, the uterine arteries were successfully embolized using angiographic techniques. As a result, surgical evacuation was performed with minimal hemorrhage; hysterectomy was not required and the patients' potential fertility was retained.