Cervical Pregnancy in a Primigravida Patient without Risk Factors: A Case Report

• 作者: Berry Kinkenda Nsiangangu Dieudonné Sengeyi Mushengezi Amani Eloge Ilunga-Mbaya Francis Ebola Iyawa
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: Cervical Pregnancy Risk Factors HEMORRHAGE METHOTREXATE
• 年，卷（期）: fckqkyw_2020,（6）
• 页码范围: 770-777
• 页数: 8页
• 分类号: R73

摘要

Cervical pregnancy is defined as the implantation of the egg below of the internal cervical orifice, and remains a rare clinical entity which affects on average 1 out of 20<span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">000 pregnancies worldwide.</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">Its hemorrhagic complications are life-threatening in case of late diagnosis. It occurs mainly on a history of curettage or caesarian which are the most recognized risk factors.</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">The objective pursued here is to discuss the possibility of the occurrence of this rare clinical entity in a primigravida without risk factors and the different therapeutic possibilities according to the technical platforms.</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">Authors report a case of cervical pregnancy at 6 weeks’</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">gestation occurring in a primigravida without risk factors who consulted at University clinics of Kinshasa (UCK) for a genital hemorrhage chart. The diagnosis was made using ultrasound and treatment provided by curettage followed by the placement of an intra-cervical foley tube for hemostatic purposes.</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">Given its high mortality, the diagnosis must be early even in pregnant women without obvious risk factors. The diversity of therapeutic means gives practitioners a choice depending on the technical platform.</span>