Embolization of uterine artery as an emergency treatment for vaginal bleeding due to ectopic cervical pregnancy

Abstract

A 25-year-old, primigravida presented with a history of vaginal bleeding since 3 days. Two months ago she had conceived spontaneously. Pelvic ultrasonography revealed cervical pregnancy of 8 weeks duration. Parenteral methotrexate failed to terminate pregnancy and serum beta- human chorionic gonadotropin levels continued to rise. In order to achieve haemostasis, catheter angiography and bilateral uterine artery embolization were done followed by curettage of cervical canal. The patient recovered completely and was discharged after 2 days. The present case brings into light the utility of bilateral uterine artery embolization as an emergency treatment for vaginal bleeding due to ectopic cervical pregnancy