Cervical intramural ectopic pregnancy

Abstract

Objective: To describe a cervical intramural ectopic pregnancy.

Design: Case report.

Setting: Maternity hospital.

Patient(s): A 28-year-old multiparous woman was seen with vaginal bleeding and a positive urinary pregnancy test after delayed menstruation. Ultrasonography and pelvic examination revealed an empty uterine cavity and a hyperechoic focus within an enlarged cyanotic anterior cervical lip. Vaginal bleeding was controlled with aspiration curettage; however, macroscopic and ultrasonographic views of the cervix remained the same. One week later the anterior cervical lip was found to be ruptured.

Intervention(s): Decidual tissue was removed from the ruptured area.

Main outcome measure(s): Histopathologic confirmation of chorionic villi and presence of a connection between the endocervix and the ruptured area.

Result(s): No connection was found with the endocervical channel when controlled with a 1-mm Hegar uterine dilator, and histopathologic examination of removed materials revealed chorionic villi.

Conclusion(s): The cervical intramural ectopic pregnancy is an extraordinary clinical situation and might lead to diagnostic and therapeutic challenges.