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  • Case Report

    Cervical pregnancy with live embryo: a report of four cases

    Rev Bras Ginecol Obstet. 1999;21(6):347-350

    Summary

    Case Report

    Cervical pregnancy with live embryo: a report of four cases

    Rev Bras Ginecol Obstet. 1999;21(6):347-350

    DOI 10.1590/S0100-72031999000600008

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    Purpose: to evaluate safety and efficacy of intra-amniotic injection of methotrexate (MTX) for treatment of viable cervical pregnancy. Methods: four women with viable cervical pregnancy confirmed by ultrasound (US) were treated with transvaginal injection of MTX (1 mg/kg) under sonographic control. The follow-up was made with serial dosages of beta-hCG on days 1, 4 and 7 after injection and weekly until the titers were negative. Results: the patients were treated with success. The time for the titers of beta-hCG to become negative after the treatment was: 62 days (case 1), 84 days (case 2), 28 days (case 3) and 10 days (case 4). Conclusion: intra-amniotic injection of MTX can be used to avoid surgery in cases of viable cervical pregnancy.

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