The use of super-selective uterine artery branch embolization and methotrexate in cervical pregnancy – case reports and literature review
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Department of Obstetrics and Gynecology, Central Clinical Hospital of the Ministry of Interior and Administration, Warsaw, Poland
Department of Obstetrics and Gynecology, Institute of Mother and Child, Warsaw, Poland
Center for Reproductive Health, Institute of Mother and Child, Poland
University of Humanites and Economics, Łódź, Satellite Campus in Warsaw, Poland
Artur Jakimiuk   

Center for Reproductive Health, Institute of Mother and Child, Kasprzaka 17a, 01-211, Warsaw, Poland
Cervical ectopic pregnancy (CEP) is one of the rarest types of ectopic pregnancy. Early detection of such cases increases the chances of conservative treatment and fertility preservation. Within 6 weeks of each other, 2 women were admitted to the OB/GYN Department with cervical ectopic pregnancies. They were successfully treated with a double dose of methotrexate and super-selective uterine artery branch embolization (SUABE). Taking into account health and economic considerations, for instance the optimal recovery time, and lower costs of operating theater time, laboratory testing and outpatient observation, it seems that safe, minimally invasive, fertility-saving, effective systemic administration of MTX in combination with SUABE, can be a rational alternative to cervical ectopic pregnancy treatment.
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