Department of Radiology, Mongi Slim Hospital, La Marsa, Tunisia.
Diagn Interv Radiol. 2010 Sep;16(3):248-50. doi: 10.4261/1305-3825.DIR.2073-08.1. Epub 2009 Oct 19.
Cervical pregnancy is a rare form of ectopic pregnancy. Its treatment has been described by different authors. We report our successful experience of a cervical twin pregnancy that was diagnosed by transabdominal and transvaginal ultrasound and confirmed by magnetic resonance imaging. To preserve fertility, our patient was treated by a bilateral hyperselective uterine artery embolization followed by dilatation and curettage of the cervical canal without ancillary procedures for cervical hemostasis. Arterial embolization by a resorbable agent reduces arterial circulation by providing a temporary occlusion of the vessels in order to decrease the risk of massive hemorrhage.
宫颈妊娠是一种罕见的异位妊娠形式。不同的作者已经描述了它的治疗方法。我们报告了一例经腹和经阴道超声诊断、磁共振成像证实的宫颈双胎妊娠的成功治疗经验。为了保留生育能力,我们的患者接受了双侧高选择性子宫动脉栓塞术,随后进行宫颈管扩张和刮宫术,而无需进行其他宫颈止血辅助手术。可吸收栓塞剂的动脉栓塞通过提供血管的临时闭塞来减少动脉循环,以降低大出血的风险。