Conservative management of 14 weeks cervical ectopic pregnancy: Case report

Cervical ectopic pregnancy is implantation of an embryo into the cervical mucosa below the level of the internal os. Cervical pregnancy is an infrequent form of ectopic gestation both in naturally conceived pregnancies and even after assisted reproductive technology (ART). It accounts for less than 1% of all ectopic pregnancies. The Transvaginal ultrasonographic diagnosis rests upon empty uterus, trophoblastic invasion of the cervix below the internal os and enlarged barrel shaped cervix containing a gestational sac present below the level of internal os. Early detection is desirable in order to plan the management early and to avoid serious and often life threatening complications. Management options vary and depend on the gestational age at diagnosis, general condition of the patient and woman’s desire to maintain fertility. Medical treatment with methotrexate is the therapy of choice in early gestation with hemodynamically stable patient. Surgical intervention is indicated in late gestation, unstable cases or failed medical treatment.