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DOI: 10.1055/s-2003-39149
Intakte zervikale Gravidität
Intact Cervical PregnancyPublication History
Eingang: 27.5.2002
Angenommen nach Revision: 18.12.2002
Publication Date:
12 May 2003 (online)
Zusammenfassung
Die Autoren beschreiben den seltenen Fall einer intakten zervikalen Gravidität bei einer 24-jährigen Zweitgravida.
Die Patientin wurde erfolgreich mit Methotrexat behandelt.
Die konservative Behandlung stellt die Therapie der Wahl bei der unkomplizierten zervikalen Gravidität dar.
Es werden konservative und chirurgische therapeutische Methoden diskutiert.
Abstract
The authors describe a case of intact cervical pregnancy in a 24-year-old secundigravida.
The patient was treated successfully with Methotrexate.
Conservative treatment is the first choice in the therapy of uncomplicated cervical pregnancy.
Conservative and operative therapeutic procedures are discussed.
Schlüsselwörter
Zervikale Gravidität - Methotrexat
Key words
Cervical pregnancy - Methotrexate
Literatur
- 1 Feige A, Rempen A, Würfel W, Jawny J, Caffier H. Zervikale Gravidität. In: Feige A, Rempen A, Würfel W, Jawny J, Caffier H,Wulf K.-H. (Hrsg.) Frauenheilkunde, 2. Auflage Urban & Fischer München - Jena; 2001: 324-325
- 2 Rorie D K, Newton M. Histologic and chemical studies of the smooth muscle in the human cervix and uterus. Am J Obstet Gynecol. l967; 99 466-469
- 3 Okeahialam M G, Tuffuell D J, O`Donovan P, Sapherson D A. Cervical pregnancy managed by suction evacuation and balloon tamponade. Eur J Obstet Gynecol Reprod Biol. 1998; 79 89-90
- 4 Bernstein D, Holzinger M, Ovadia J, Frishman B. Conservative treatment of cervical pregnancy. Obstet Gynecol. 1981; 58 741-744
- 5 Faustin D, Chen P C, Pose M. Intrauterine pregnancy following conservative treatment of cervicale pregnancy. J Ultrasound Med. 1987; 6 467-470
- 6 Nolan T E, Chandler P E, Hess L W, Morisson J C. Cervical pregnancy managed without hysterectomy: A case report. J Reprod Med. 1989; 34 241-243
- 7 Hansch E, Chitkarg V, McAlphine J, El-Sayed Y, Dake M D, Razari M K. Pelvic arterial embolization for control of obstetric hemorrhage; a five-year experience. Am J Obstet Gynecol. l999; 180 1454-1456
- 8 Wong Y H, Liang E Y, Ng T K, Lau K Y. A cervical ectopic pregnancy managed by medical treatment and angiographic embolization: A case report. Aust N Z J Obstet Gynecol. 1999; 39(4) 493-496
- 9 Kung F T, Chang S Y. Efficacy of methotrexate treatment in viable and nonviable cervical pregnancies. Am J Obstet Gynecol. 1999; 181 1438-1444
- 10 Habek D, Čerkez Habek J. Die Behandlung der Cervikalschwangerschaft mit Suctioncurettage und cervikovaginaler Thamponade. Zentralbl Gynakol. 2002; 124 184-185
- 11 Margolis K. cervical pregnancy treated with a singe intravenous administration of methotrexate plus oral folinic acid. Aust N Z J Obstet Gynecol. 2000; 4(13) 347-349
- 12 Farabow W S, Fulton J W, Fletcher V, Velat C A, White J T. Cervical pregnancy treated with methotrexate. N C Med J. 1983; 44 91-93
- 13 Mentalenakis S, Tsalikis T, Grimbizis G, Aktsalis A, Mamopoulos M, Farmakides G. Successful pregnancy after treatment of cervical pregnancy with methotrexate and curettage: a case report. J Reprod Med. 1995; 4O 409-414
- 14 Zohav E, Gemer O, Sasson E, Segal S. Successful pregnancy following conservative treatment of cervical pregnancy with methotrexate (letter). Int J Ginaecol Obstet. 1995; 48 97-98
Dr. sc. Dr. med. Dubravko Habek
Zeleno Polje 9
Hr-31000 Osijek
Croatia
Phone: +385 31 501092
Email: dubravko.habek@bj.hinet.hr