Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura

Objectives: To report a case of cervical pregnancy (CP) treated successfully with a conservative approach, and to conduct a review of the literature regarding conservative medical and surgical treatment. Materials and Methods: Patient with cervical pregnancy treated pharmacologically with methotrexa...

Full description

Autores:
Bolaños-Bravo H.H.
Ricaurte-Fajardo A.
Zarama-Márquez F.
Ricaurte-Sossa A.
Fajardo Rivera, Ruth
Chicaiza Maya, Rubén
Guerrero-Mejía C.A.
Tipo de recurso:
Article of journal
Fecha de publicación:
2020
Institución:
Universidad Cooperativa de Colombia
Repositorio:
Repositorio UCC
Idioma:
OAI Identifier:
oai:repository.ucc.edu.co:20.500.12494/42042
Acceso en línea:
https://doi.org/10.2147/VMRR.S28051
http://revistas.utp.edu.co/index.php/revistaciencia/article/view/8997
https://hdl.handle.net/20.500.12494/42042
Palabra clave:
case report
Rights
closedAccess
License
http://purl.org/coar/access_right/c_14cb
id COOPER2_4b5f2d12fbb34d52c7ab60a8132f931c
oai_identifier_str oai:repository.ucc.edu.co:20.500.12494/42042
network_acronym_str COOPER2
network_name_str Repositorio UCC
repository_id_str
spelling Bolaños-Bravo H.H.Ricaurte-Fajardo A.Zarama-Márquez F.Ricaurte-Sossa A.Fajardo Rivera, RuthChicaiza Maya, RubénGuerrero-Mejía C.A.2021-12-16T22:15:59Z2021-12-16T22:15:59Z2020https://doi.org/10.2147/VMRR.S28051http://revistas.utp.edu.co/index.php/revistaciencia/article/view/899700347434https://hdl.handle.net/20.500.12494/42042Bolaños HH,Ricaurte A,Zarama F,Ricaurte A,Fajardo R,Chicaiza R,Guerrero CA. Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura. Rev Colomb Obstet Ginecol. 2020. 70. (4):p. 282-297. .Objectives: To report a case of cervical pregnancy (CP) treated successfully with a conservative approach, and to conduct a review of the literature regarding conservative medical and surgical treatment. Materials and Methods: Patient with cervical pregnancy treated pharmacologically with methotrexate (MTX) followed by dilation and curettage, with a satisfactory clinical course. A search of articles was conducted in Medline via PubMed, LILACS, SciElo and Google Scholar using the terms "cervical ectopic pregnancy," "conservative treatment," "curettage,» "methotrexate," "uterine artery embolization," "hysteroscopy." Reports and case series were selected of patients with cervical pregnancy diagnosed on ultrasound at any gestational age, subjected to conservative medical or surgical treatment. Results: A total of 22 studies were included; 95 patients with CP treated with MTX were identified, 93 of them successfully treated. The most frequent complication was bleeding in 12%; 26% required complementary surgical treatment. Increasingly, uterine artery embolization (UAE) is carried out preventatively (7 cases) before curettage or treatment with MTX. The hysteroscopy is another recent alternative (20 cases). Abdominal hysterectomy was required in two cases, one of which was a cervico-isthmic pregnancy. Conclusions: Treatment with MTX continues to be the most frequent strategy. Dilation and curettage with endocervical plugging may be an option to consider in the emergency management of EP in primary care institutions. In institutions equipped with high complexity technology, uterine artery embolization before the surgical procedure and histeroscopy are options to be considered. Considering that early diagnosis of EP is now possible, multi-center studies comparing different management options are needed for better assessment of their safety and effectiveness. © 2019 Federacion Colombiana de Asociaciones de Obstetricia y Ginecologia (FECOLSOG).297-282Federacion Colombiana de Asociaciones de Obstetricia y Ginecologia (FECOLSOG)case reportManejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literaturaArtículohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionRevista Colombiana de Obstetricia y Ginecologiainfo:eu-repo/semantics/closedAccesshttp://purl.org/coar/access_right/c_14cbPublication20.500.12494/42042oai:repository.ucc.edu.co:20.500.12494/420422024-08-20 16:17:42.345metadata.onlyhttps://repository.ucc.edu.coRepositorio Institucional Universidad Cooperativa de Colombiabdigital@metabiblioteca.com
dc.title.spa.fl_str_mv Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura
title Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura
spellingShingle Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura
case report
title_short Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura
title_full Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura
title_fullStr Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura
title_full_unstemmed Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura
title_sort Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura
dc.creator.fl_str_mv Bolaños-Bravo H.H.
Ricaurte-Fajardo A.
Zarama-Márquez F.
Ricaurte-Sossa A.
Fajardo Rivera, Ruth
Chicaiza Maya, Rubén
Guerrero-Mejía C.A.
dc.contributor.author.none.fl_str_mv Bolaños-Bravo H.H.
Ricaurte-Fajardo A.
Zarama-Márquez F.
Ricaurte-Sossa A.
Fajardo Rivera, Ruth
Chicaiza Maya, Rubén
Guerrero-Mejía C.A.
dc.subject.spa.fl_str_mv case report
topic case report
description Objectives: To report a case of cervical pregnancy (CP) treated successfully with a conservative approach, and to conduct a review of the literature regarding conservative medical and surgical treatment. Materials and Methods: Patient with cervical pregnancy treated pharmacologically with methotrexate (MTX) followed by dilation and curettage, with a satisfactory clinical course. A search of articles was conducted in Medline via PubMed, LILACS, SciElo and Google Scholar using the terms "cervical ectopic pregnancy," "conservative treatment," "curettage,» "methotrexate," "uterine artery embolization," "hysteroscopy." Reports and case series were selected of patients with cervical pregnancy diagnosed on ultrasound at any gestational age, subjected to conservative medical or surgical treatment. Results: A total of 22 studies were included; 95 patients with CP treated with MTX were identified, 93 of them successfully treated. The most frequent complication was bleeding in 12%; 26% required complementary surgical treatment. Increasingly, uterine artery embolization (UAE) is carried out preventatively (7 cases) before curettage or treatment with MTX. The hysteroscopy is another recent alternative (20 cases). Abdominal hysterectomy was required in two cases, one of which was a cervico-isthmic pregnancy. Conclusions: Treatment with MTX continues to be the most frequent strategy. Dilation and curettage with endocervical plugging may be an option to consider in the emergency management of EP in primary care institutions. In institutions equipped with high complexity technology, uterine artery embolization before the surgical procedure and histeroscopy are options to be considered. Considering that early diagnosis of EP is now possible, multi-center studies comparing different management options are needed for better assessment of their safety and effectiveness. © 2019 Federacion Colombiana de Asociaciones de Obstetricia y Ginecologia (FECOLSOG).
publishDate 2020
dc.date.issued.none.fl_str_mv 2020
dc.date.accessioned.none.fl_str_mv 2021-12-16T22:15:59Z
dc.date.available.none.fl_str_mv 2021-12-16T22:15:59Z
dc.type.none.fl_str_mv Artículo
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.coar.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.coarversion.none.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/article
dc.type.redcol.none.fl_str_mv http://purl.org/redcol/resource_type/ART
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
format http://purl.org/coar/resource_type/c_6501
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.2147/VMRR.S28051
http://revistas.utp.edu.co/index.php/revistaciencia/article/view/8997
dc.identifier.issn.spa.fl_str_mv 00347434
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12494/42042
dc.identifier.bibliographicCitation.spa.fl_str_mv Bolaños HH,Ricaurte A,Zarama F,Ricaurte A,Fajardo R,Chicaiza R,Guerrero CA. Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura. Rev Colomb Obstet Ginecol. 2020. 70. (4):p. 282-297. .
url https://doi.org/10.2147/VMRR.S28051
http://revistas.utp.edu.co/index.php/revistaciencia/article/view/8997
https://hdl.handle.net/20.500.12494/42042
identifier_str_mv 00347434
Bolaños HH,Ricaurte A,Zarama F,Ricaurte A,Fajardo R,Chicaiza R,Guerrero CA. Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: Reporte de caso y revisión de la literatura. Rev Colomb Obstet Ginecol. 2020. 70. (4):p. 282-297. .
dc.relation.ispartofjournal.spa.fl_str_mv Revista Colombiana de Obstetricia y Ginecologia
dc.rights.accessrights.none.fl_str_mv info:eu-repo/semantics/closedAccess
dc.rights.coar.none.fl_str_mv http://purl.org/coar/access_right/c_14cb
eu_rights_str_mv closedAccess
rights_invalid_str_mv http://purl.org/coar/access_right/c_14cb
dc.format.extent.spa.fl_str_mv 297-282
dc.publisher.spa.fl_str_mv Federacion Colombiana de Asociaciones de Obstetricia y Ginecologia (FECOLSOG)
institution Universidad Cooperativa de Colombia
repository.name.fl_str_mv Repositorio Institucional Universidad Cooperativa de Colombia
repository.mail.fl_str_mv bdigital@metabiblioteca.com
_version_ 1814246780657729536