TITLE:
Viable Second Trimester Cervical Ectopic Pregnancy Managed Successfully with Uterine Preservation: Case Report
AUTHORS:
Suzan Elsharkawy, Abdullah Elrashidy, Nazem Badran, Gawed Ekbal, Shahda Yakob, Salamah Elnagar, Ashraf Elaggan, Amr Mostafa, Mohamed Abdelaziz
KEYWORDS:
Ectopic Pregnancy, Cervical Ectopic, Uterine Artery Embolization, Hystroscopic Resection, Conservative Management of Ectopic, Methotrexate, Cervical Tamponade, Bakri Balloon, Cervical Cerclage
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.9,
September
27,
2021
ABSTRACT: Cervical pregnancy is a rare clinical entity that accounts for less than
1% of all ectopic pregnancies. It results from implantation of the blastocyst
in the cervical canal below the level of the internal os. Although non-tubal
ectopic pregnancies account for only 5% of
ectopics, they contribute to a significant morbidity. The cornerstone in the
management of cervical ectopic is early diagnosis by high index of suspension
and a qualified sonographer. Management options for cervical ectopic
pregnancies range from conservative drug treatment to radical hysterectomy.
Over the last few years, the mortality and morbidity rates of ectopic pregnancies
have been reduced. This is mainly due to the early recognition of the condition
and the wide availability of minimally invasive surgical procedures. We present
a case of a 33-year-old woman that was 16 weeks pregnant. She presented initially with recurrent
vaginal bleeding followed by minimal lower abdominal pain. Her early US scans
were misleading. Several weeks later, a follow
up MRI scan suggested cervical ectopic. She was managed surgically with uterine
preservation.