Obstetrics and gynecology
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Obstetrics and gynecology · Jan 2017
Case ReportsVaginal Hysterectomy for Treatment of Cervical Ectopic Pregnancy.
Cervical ectopic pregnancy can lead to catastrophic hemorrhage, and may be managed conservatively with intra-amniotic methotrexate (MTX), systemic MTX, or both; surgical evacuation with or without balloon tamponade; and uterine artery embolization. However, some patients require hysterectomy, which has traditionally been performed abdominally. ⋯ Vaginal hysterectomy can be performed successfully for treatment of cervical ectopic pregnancy in patients who have completed childbearing and for whom conservative treatment has failed.