Slavcho Tomov1, Grigor Gortchev1, Lachezar Tantchev1, Margarita Nikolova2, Savelina Popovska2
1) Department of Obstetrics and Gynecology, Gynecologic Oncology Clinic, Medical University, Pleven, Bulgaria.
2) Department of General and Clinical Pathology, Medical University, Pleven, Bulgaria.
Disclosure: The author has declared no conflicts of interest.
Received: 03.05.15 Accepted: 13.05.15
A 29-year-old patient with cervical ectopic pregnancy (CEP) presented as "suspected" cervical mass, and irregular vaginal bleeding was directed to a gynecologic oncologist for consultation. During the examination a massive bleeding occurred. After an unsuccessful attempt to stop the bleeding with a balloon catheter and vaginal tamponade, a total abdominal hysterectomy was performed. The predisposing factors, the differential diagnostic possibilities and the clinical approaches in CEP are discussed. Total abdominal hysterectomy is the procedure of choice for treatment of cervical pregnancy under conditions of urgency and life-threatening bleeding.
Keywords: cervical ectopic pregnancy, massive bleeding, hysterectomy
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