• J Obstet Gynaecol Can · Mar 2016

    Case Reports

    Cervical Ectopic Pregnancy Complicated by Escherichia Coli Septicemia: A Case Report.

    • Richard J Persadie, Dustin Costescu-Green, and Katherine M Gerster.
    • Department of Obstetrics and Gynecology, McMaster University, Hamilton ON.
    • J Obstet Gynaecol Can. 2016 Mar 1; 38 (3): 275-8.

    BackgroundCervical ectopic pregnancy is an uncommon form of ectopic pregnancy. The spectrum of treatment options includes systemic medical therapy, local injection with methotrexate and/or potassium chloride, surgery, or a combination of these modalities.CaseA 29-year-old woman, gravida 3, aborta 2, was found to have a cervical ectopic pregnancy on ultrasound at 5+6 weeks' gestation. She presented to the hospital with vaginal bleeding. Treatment was initiated with multidose methotrexate and leucovorin rescue. She subsequently developed Gram-negative septicemia, with blood cultures growing Escherichia coli. This was managed successfully by surgical removal of the ectopic pregnancy and antimicrobial therapy.ConclusionA cervical ectopic pregnancy can be complicated by E. coli septicemia.Crown Copyright © 2016. Published by Elsevier Inc. All rights reserved.

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