Successful Transvaginal Microwave Ablation of a Heterotopic Cervical Pregnancy. A Case Report

Gabriella Schivardi, Salvatore Alessio Angileri, Giampiero Esposito, Letizia Di Meglio, Valentina Brusati, Anna Maria Ierardi, Gianpaolo Carrafiello, Anna Maria Marconi

Research output: Contribution to journalArticlepeer-review

Abstract

Heterotopic cervical pregnancy is a rare and potentially dangerous condition where the challenge is the removal of the ectopic pregnancy while preserving the intrauterine one. We present the case of an otherwise healthy 36-year-old woman with heterotopic cervical pregnancy after an IVF cycle for tubal infertility. At 6.5 weeks after a consultation with gynecologists and interventional radiologists, the patient agreed to undergo microwave ablation of the cervical pregnancy. Monthly ultrasound examination showed the persistence of non homogeneous and vascularized tissue in the cervix. Intrauterine pregnancy continued without complications until 37 weeks when a cesarean section was performed for sudden and profuse bleeding, in the presence of uterine contractions. A healthy baby girl was delivered, and the postoperative course was otherwise uncomplicated. Heterotopic cervical pregnancies are rare, and no consolidated and risk-free treatments are available at the moment. Here, we present a case of heterotopic cervical pregnancy treated successfully and without complications with microwave ablation.

Original languageEnglish
Pages (from-to)27-30
JournalReproductive Sciences
Volume28
Issue number1
DOIs
Publication statusPublished - 2021

Keywords

  • Assisted reproduction
  • Case report
  • Heterotopic pregnancy
  • IVF cycle
  • Microwave ablation
  • Multiple pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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