June 30th, 2022

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Transvaginal Ligation of the Cervical Branches of the Uterine Artery and Injection of Vasopressin in a Cervical Pregnancy as an Initial Step to Controlling Hemorrhage: A Case Report
Authors:  Lynn Bentley Davis, M.D., Ruth B. Lathi, M.D., Amin A. Milki, M.D., and Michael H. Dahan, M.D.
BACKGROUND: Hemorrhage from a cervical pregnancy is a time-sensitive matter. Effective temporization measures for the initial management of this hemorrhage have not previously been reported in the literature.

CASE: A 43-year-old woman, gravida 0, underwent in vitro fertilization and embryo transfer. She subsequently presented to the office with sudden onset of vaginal hemorrhage due to a cervical pregnancy. Cervical artery sutures were placed, and a cervical vasoconstricting agent was injected, at which point the patient‘s bleeding stopped. She then underwent successful treatment with dilation and curettage.

CONCLUSION: Conservative measures to manage hemorrhage due to cervical pregnancy can be initiated, with possible rapid establishment of hemostasis until definitive treatment can be achieved. (J Reprod Med 2008;53:365-368)
Keywords:  cervical pregnancy, ectopic pregnancy, uterine artery, uterine hemorrhage, vasopressin
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