Arteriovenous Malformation Following Conservative Management of Cervical Pregnancy

Jennifer Tang; Mara L Sobel; Ally Murji

doi:10.1016/j.jogc.2018.02.018

Arteriovenous Malformation Following Conservative Management of Cervical Pregnancy

J Obstet Gynaecol Can. 2018 Sep;40(9):1186-1189. doi: 10.1016/j.jogc.2018.02.018. Epub 2018 Jul 11.

Authors

Jennifer Tang¹, Mara L Sobel², Ally Murji³

Affiliations

¹ Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toronto, Toronto, ON.
² Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toronto, Toronto, ON; Department of Obstetrics & Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON.
³ Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toronto, Toronto, ON; Department of Obstetrics & Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON. Electronic address: ally.murji@sinaihealthsystem.ca.

PMID: 30007798
DOI: 10.1016/j.jogc.2018.02.018

Abstract

Background: Medical management using potassium chloride feticide and methotrexate is often the first-line approach to cervical pregnancies.

Case: A 25-year-old woman presenting with a cervical ectopic pregnancy was unsuccessfully managed with conservative therapy, resulting in an arteriovenous malformation requiring a laparoscopic hysterectomy.

Conclusion: Conservative management of ectopic pregnancies is the treatment of choice for young women looking to preserve fertility. However, medical management is not without risk, and this case illustrates one such complication.

Keywords: Cervical ectopic pregnancy; arteriovenous malformation; conservative management; methotrexate.

Publication types

Case Reports

MeSH terms

Adult
Arteriovenous Malformations / etiology*
Arteriovenous Malformations / therapy*
Cervix Uteri
Conservative Treatment
Female
Humans
Hysterectomy
Pregnancy
Pregnancy, Ectopic / drug therapy*
Uterine Artery Embolization
Uterine Hemorrhage / etiology
Uterine Hemorrhage / therapy*