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KMID : 0358419640070010041
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Korean Journal of Obstetrics and Gynecology
1964 Volume.7 No. 1 p.41 ~ p.44
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Cervical Pregnancy, 2 Cases
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姜信明/Kang, Shin Myung
趙成媛/金元滋/盧英滋/Cho, Sung Won/Kim, Won Ja/Rho, Young Ja
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Abstract
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2 cases of Cervical pregnancy meeting the criteria of.Paalman and McElin; One closed to anatomical proof, the other proved pathologically and suggested clinically have been reported.
It was impossible to me to make correct diagnosis preoperatively on either cases. Cases I, who had previous curettage therapeutic abortion(8 weeks gestation) 5 days prior to the admission was treated as post D. & C. hemorrhage or cervical injury, in which performing repeated curettages and cervical packings followed by vaginal hysterectomy. Case II, with vaginal spotting of 7 days duration was treated as threatened abortion at 7 weeks gestation, later as missed abortion, in which carrying out single curettage and cervical packing- successfully.
The results of 2 cases were good despite. of one encountered a stomy hemorrhage during the. hysterectomy.
I would like to emphasize and urge that even in performing the hystectomy for cervical pregnancy; large amount of blood should be prepaired and available just like performing for the trical of of curettage before any treatment is initiated, because I have experienced unforgetable severe hemorrhage during the hysterectomy, requiring up to 2.000 c.c. of blood transfusions(case I); probably due to the physiologic changes in cervical pregncy unlike the corporeal pregnancy, causing unusual vascularization or varicoses over the pelvic floor or vesico & recto-cervical areas, depend on the site of implantation.
The placenta regression type such as terminated as missed abortion (case II), however will be less chance of bleeding.
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