Combined treatment with temporary intraoperative balloon occlusion of common iliac arteries and hysteroscopic endocervical resection with postoperative cervical balloon for intractable cervical pregnancy in an infertile woman.

OBJECTIVE: To describe treatment of an intractable cervical pregnancy that failed intracervical Foley catheter tamponade and uterine artery embolization followed by curettage of gestational tissue.
DESIGN: Case report.
SETTING: Tertiary-care university hospital. PATIENT(S): A 37-year-old infertile woman who achieved an 8-week cervical pregnancy after IVF-ET. INTERVENTION(S): Temporary intraoperative balloon occlusion of bilateral common iliac arteries in combination with hysteroscopic endocervical resection of the gestational tissue, followed by postoperative intracervical balloon compression for 3 days. MAIN OUTCOME MEASURE(S): Serial serum beta-hCG concentrations. RESULT(S): Complete removal of gestational products with preservation of fertility. CONCLUSION(S): Temporary balloon occlusion of bilateral common iliac arteries in combination with hysteroscopic endocervical resection of cervical pregnancy was effective in the treatment of intractable cervical pregnancy and preserved the woman's future fertility.