Uterine artery embolization - a successful treatment to control bleeding cervical pregnancy with a simultaneous intrauterine gestation

A case of a woman suffering from a bleeding heterotopic cervical pregnancy is described. The concurrent cervical pregnancy and intrauterine gestation were diagnosed by ultrasound and bleeding was initially controlled with sel ective fluoroscopic uterine artery embolization. A selective fetal reductio n was done with ultrasound-guided intracardiac potassium chloride. Uterine artery embolization has been used successfully to control haemorrhage in ce rvical pregnancies when the main goal was to allow preservation of the uter us, thus maintaining potential fertility, This is the first report of arter ial embolization used to control bleeding for maintaining a concurrent intr auterine heterotopic pregnancy in an in-vitro fertilization patient. Unfort unately, subsequent conservative measures led to undesired outcome. This pr ocedure initially controlled the bleeding without disrupting the intrauteri ne fetal cardiac activity.