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Samal S, Ghose S, Pallavee P, et al. Successful Management of Live Cervical Ectopic Pregnancy: A Case Report. J Clin Diagn Res. 2015;9(12):QD03-4doi: 10.7860/JCDR/2015/12230.6871.
Samal, S., Ghose, S., Pallavee, P., & Porkkodi, P. (2015). Successful Management of Live Cervical Ectopic Pregnancy: A Case Report. Journal of clinical and diagnostic research : JCDR, 9(12), QD03-4. https://doi.org/10.7860/JCDR/2015/12230.6871
Samal, Sunita, et al. "Successful Management of Live Cervical Ectopic Pregnancy: A Case Report." Journal of clinical and diagnostic research : JCDR vol. 9,12 (2015): QD03-4. doi: https://doi.org/10.7860/JCDR/2015/12230.6871
Samal S, Ghose S, Pallavee P, Porkkodi P. Successful Management of Live Cervical Ectopic Pregnancy: A Case Report. J Clin Diagn Res. 2015 Dec;9(12):QD03-4. doi: 10.7860/JCDR/2015/12230.6871. Epub 2015 Dec 01. PMID: 26816951; PMCID: PMC4717703.
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J Clin Diagn Res. 2015 Dec;9(12):QD03-4. doi: 10.7860/JCDR/2015/12230.6871. Epub 2015 Dec 01.

Successful Management of Live Cervical Ectopic Pregnancy: A Case Report.

Journal of clinical and diagnostic research : JCDR

Sunita Samal, Seetesh Ghose, P Pallavee, P Porkkodi

Affiliations

  1. Associate Professor, Department of Obstetrics and Gynecology, MGMC & RI , Puducherry, India .
  2. Professor, Department of Obstetrics and Gynecology, MGMC & RI , Puducherry, India .
  3. Assistant Professor, Department of Obstetrics and Gynecology, MGMC & RI , Puducherry, India .

PMID: 26816951 PMCID: PMC4717703 DOI: 10.7860/JCDR/2015/12230.6871

Abstract

Cervical pregnancy is a rare form of ectopic pregnancy with potential grave consequences occurring in approximately 1:9,000 deliveries. It is life-threatening as the pregnancy is implanted in the endocervical canal and the trophoblast can penetrate through the cervical wall and into the uterine blood supply resulting in catastrophic haemorrhage. Historically, the treatment had been hysterectomy because of the considerable risk of life-threatening haemorrhage, but in the recent past various conservative management modalities have been applied to preserve fertility. Here, we report a case of successful (both medical and surgical) management of cervical ectopic pregnancy in a young woman. A 29-year-old, gravid 2, para1 and living 1 with previous caesarean section had presented with mild bleeding per vagina for 5 days following 7 weeks of amenorrhoea. Past menstrual, medical, surgical and family history were unremarkable except the previous caesarean section. On examination vital signs were normal but pelvic examination revealed a distended cervix with bulky uterus, without anyadnexal mass or tenderness and no cervical motion tenderness. Further transvaginal sonography showed a live cervical gestation of 7 weeks and 4 days and serum beta-HCG value of 1,03,113mIU/ml. Patient received conservative approach with combination of intraamniotic potassium chloride and methotrexate and suction curettage. Due to conservative approach emergency hysterectomy and blood transfusion was avoided.

Keywords: Cervical pregnancy; Curettage; Methotrexate

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