Double Balloon Cervical Ripening Catheter for Control of Mas
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Case
A 31-year-old gravida 2 para 0 at 7 weeks and 3 days presented to the emergency room with complaints of vaginal bleeding and abdominal cramping that began earlier that morning. On examination, her abdomen was nontender without rebound or guarding. No active bleeding was noted vaginally. Her serum beta human chorionic gonadotrophin (?-hCG) was 18,645?mIU/L.

Transvaginal ultrasound revealed a 22?mm gestational sac implanted within the cervical canal with a fetal pole but no fetal cardiac activity. Decision was made to admit patient for systemic multidose methotrexate regimen for conservative management of a cervical pregnancy. Uterine artery embolization was considered but concern arose about long term effects on the patient's future fertility.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5312454/
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