Rare Complication of Embryo Transfer: Cervical XXXX [354].

@entity1 @entity43 @entity3556 @entity548 @entity26370 @entity52
BACKGROUND: @entity26370 rarely occur in naturally conceived pregnancies, one in 30,000. However, this rate drastically increases, one in 100, in the setting of assisted reproductive technology. Thus, the diagnosis and management of @entity26370 is imperative in a @entity1 undergoing @entity52 ( @entity52 ). CASE: A 27-year-old primigravid Caucasian @entity1 at 8 weeks of gestation presents to the emergency department with heavy @entity3556 . She underwent @entity52 with an uneventful transfer of two embryos approximately 8 weeks prior. The postoperative course was complicated by @entity43 with paracentesis. Four weeks posttransfer, the @entity1 had an episode of @entity3556 with a closed cervix. Two additional @entity548 episodes resulting in hospitalization and blood transfusion occurred during the eighth and ninth weeks of gestation. On the fourth episode of @entity548 an ultrasonogram showed a fetus with a heart rate in the cervical canal along with an intrauterine pregnancy. After explanation of risks and benefits, the @entity1 chose to have a curettage and cautery of the cervical canal. Bleeding ceased, the cervical pregnancy was terminated, and the intrauterine pregnancy went on to a term delivery. CONCLUSION: In this @entity26370 , treatment of the ectopic pregnancy was tailored to the site of implantation and successfully utilized invasive therapy to preserve the concomitant intrauterine pregnancy.
