H.M. Youssef
Mansoura University, Egypt
Title: Conservative management of 14 weeks cervical ectopic pregnancy: Case report
Biography
Biography: H.M. Youssef
Abstract
A 34 years old gravida three para 1, presented for the first time to our department at 14 week gestation with single living cervical ectopic pregnancy. The patient was admitted and the diagnosis was confirmed. Following counseling and a written informed consent obtained for hysterectomy the patient was scheduled for surgery. Laparotomy was done and a loop was applied on the anterior division of the internal iliac arteries on both sides. The peritoneum of the lower uterine segment was dissected to expose the cervix and to free the urinary bladder. Both uterine arteries were ligated. A c-shaped incision was done on the upper part of the cervix, the fetus was gently and easily extracted and the cervix was digitalized to manually remove the placenta. The cervical canal was explored and an intra-cervical balloon tamponade was applied. The anterior division of the left internal ileac artery was ligated and the loop on the right internal ileac artery was removed because the bleeding was controlled. The patient received 2 units of packed RBCs. The postoperative period passed smooth and the catheter was deflated gradually after 2 days. The patient was followed up by β-HCG estimation after discharge until it became negative