Cervical pregnancy: assessment with three-dimensional power Doppler imaging and successful management with selective uterine artery embolization

Cervical pregnancy is frequently associated with extensive hemorrhage which , in severe cases, may be stopped only by hysterectomy We report a case of an anembryonic cervical pregnancy diagnosed at 10 weeks, and associated wit h a large arteriovenous malformation. The patient was conservatively manage d with simple selective uterine artery embolization. After embolization, he r vaginal bleeding ceased and the level of serum beta-human chorionic gonad otropin decreased rapidly. No additional treatment was given. The patient's postoperative course was uneventful and the cervical mass had disappeared at the follow-up 4 months later. To the best of our knowledge, this is the first report of conservative management of cervical pregnancy simply by ute rine artery embolization. The role of three-dimensional power Doppler ultra sonography in the assessment of cervical pregnancy and in monitoring the th erapeutic response is discussed.