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- W2096782954 abstract "Se describe un caso de embarazo ectopico cervical, cuya presentacion habitual es una metrorragia irregular durante el primer trimestre de gestacion. La estrategia diagnostica no difiere de los embarazos ectopicos de otra localizacion, donde un valor elevado de β-HCG y el estudio ecografico resultan fundamentales. La imagen mas frecuente es un utero vacio con anejos normales y una vesicula gestacional a escala cervical, en contadas ocasiones con polo embrionario y latido cardiaco positivo, como en nuestro caso. La importancia del diagnostico temprano se basa en intentar un tratamiento lo mas conservador posible y mantener la fertilidad de la paciente. El tratamiento medico con metotrexato sistemico e intrasacular resulta una alternativa terapeutica bastante eficaz y valida para conseguir una escasa morbilidad We report a case of cervical ectopic pregnancy, which usually presents as irregular metrorrhagia in the first trimester. The diagnostic strategy does not differ from that of ectopic pregnancies in other locations, in which high β-human chorionic gonadotrophin values and ultrasound scanning are fundamental. The most frequent image is an empty uterus and a gestational sac at the level of the cervix, sometimes accompanied by embryonic pole and positive heart beat, as observed in the case reported herein. Early diagnosis is essential to provide the most conservative treatment possible and preserve the patient's fertility. Medical treatment with systemic and intrasacular methotrexate is a fairly effective and valid therapeutic option with low morbidity" @default.
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- W2096782954 date "2002-01-01" @default.
- W2096782954 modified "2023-09-25" @default.
- W2096782954 title "Embarazo ectópico cervical: tratamiento combinado de metotrexato sistémico e intrasacular" @default.
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- W2096782954 doi "https://doi.org/10.1016/s0304-5013(02)75818-4" @default.
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