{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T18:42:20Z","timestamp":1763664140192,"version":"3.37.3"},"reference-count":35,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"4","license":[{"start":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T00:00:00Z","timestamp":1577664000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivos: reportar el caso de un embarazo cervical (EC) que recibi\u00f3 manejo conservador exitoso y realizar una revisi\u00f3n de la literatura sobre el tratamiento m\u00e9dico y quir\u00fargico conservador. Materiales y m\u00e9todos: se presenta el caso de una paciente con embarazo cervical, quien recibi\u00f3 manejo farmacol\u00f3gico con metotrexate (MTX) y posterior legrado con evoluci\u00f3n cl\u00ednica satisfactoria. Se realiz\u00f3 una b\u00fasqueda de art\u00edculos en Medline v\u00eda PubMed, LILACS, SciElo y Google acad\u00e9mico con los t\u00e9rminos: \u201ccervical ectopic pregnancy\u201d, \u201cconservative treatment\u201d, \u201ccurettage\u201d, \u201cmethotrexate\u201d,\u00a0\u201cuterine artery embolization\u201d \u201chysteroscopy\u201d. Se seleccionaron reportes y series de caso, pacientes con embarazo cervical diagnosticado por ultrasonido, de cualquier edad gestacional, sometidas tratamiento m\u00e9dico o quir\u00fargico conservador. Resultados: se incluyeron 22 estudios; se identificaron 95 pacientes con EC tratados con MTX, con tratamiento exitoso en 93. La complicaci\u00f3n m\u00e1s frecuente fue la hemorragia en 12 %; el 26 % requiri\u00f3 tratamiento quir\u00fargico complementario. Cada vez m\u00e1s, la embolizaci\u00f3n de arterias uterinas (EAU) se realiza de manera preventiva (7 casos) antes del legrado o del tratamiento con MTX. La histeroscopia es otra alternativa reciente (20 casos). En 2 casos se requiri\u00f3 histerectom\u00eda abdominal, uno de los cuales fue un embarazo \u00edstmico cervical. Conclusiones: el tratamiento con MTX sigue siendo el m\u00e1s frecuentemente utilizado. La dilataci\u00f3n y el curetaje con taponamiento endocervical puede ser una opci\u00f3n por considerar en el manejo de urgencia del EC en instituciones de atenci\u00f3n primaria. En instituciones donde se dispone de tecnolog\u00edas de alta complejidad, la embolizaci\u00f3n de arterias uterinas previa a los procedimientos quir\u00fargicos y la histeroscopia son opciones que se deben considerar. Dado que actualmente es posible el diagn\u00f3stico temprano del EC, se requieren estudios multic\u00e9ntricos que comparen las diferentes alternativas de manejo para una mejor evaluaci\u00f3n de su seguridad y efectividad.<\/jats:p>","DOI":"10.18597\/rcog.3357","type":"journal-article","created":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T10:11:24Z","timestamp":1580724684000},"page":"277-292","source":"Crossref","is-referenced-by-count":7,"title":["Manejo conservador en una paciente con embarazo ect\u00f3pico cervical en Nari\u00f1o, Colombia: reporte de caso y revisi\u00f3n de la literatura"],"prefix":"10.18597","volume":"70","author":[{"given":"Henry Hern\u00e1n","family":"Bola\u00f1os-Bravo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7374-4460","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Ricaurte-Fajardo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9722-7153","authenticated-orcid":false,"given":"Fabio","family":"Zarama-M\u00e1rquez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0429-0490","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Ricaurte-Sossa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Fajardo-Rivera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruben","family":"Chicaiza-Maya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Andr\u00e9s","family":"Guerrero-Mej\u00eda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2019,12,30]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1097\/OGX.0b013e31829cdbeb","article-title":"Clinical diagnosis and treatment of ectopic pregnancy","volume":"68","author":"Alkatout","year":"2013","unstructured":"Alkatout I, Honemeyer U, Strauss A, et al. 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