PMC5960537_01
Transvaginal ultrasound showing a live ectopic pregnancy (white arrow) in the posterior wall of the cervix (black arrows). FHR 174 pbm. Estimated fetal age was 8 weeks, 1 day.
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The preliminary transvaginal ultrasound report indicated an 8-week intrauterine pregnancy with cardiac activity, but the subsequent official report by a radiologist confirmed a cervical ectopic pregnancy (CEP) located at the posterior wall of the cervical canal (Figure 1).
Pelvic aortogram showing a hypervascular area in the region of the cervical ectopic pregnancy (arrowhead) being supplied mainly by the left uterine artery (arrow).
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The pelvic angiogram revealed that the ectopic pregnancy was supplied mainly by the left uterine artery (Figure 2); however the ascending components of both uterine arteries were selected with a microcatheter and embolized with Gelfoam (9 cc for right and 6 cc for left, resp.).
Pre- and postembolization arteriogram showing the bilateral uterine arteries (including the cervical component) prior to embolization with Gelfoam and after ((a) preembolization and (b) postembolization).
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Postembolization images showed satisfactory occlusion of blood flow (Figure 3).