Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2013 Oct;6(4):273-6.
doi: 10.4103/0974-1208.126312.

Diagnosis and management of cervical ectopic pregnancy

Affiliations
Case Reports

Diagnosis and management of cervical ectopic pregnancy

Sweta Singh. J Hum Reprod Sci. 2013 Oct.

Abstract

Cervical ectopic pregnancy (CP) is a rare condition with an incidence of less than 0.1% of all ectopic pregnancies. It is associated with a high morbidity and mortality potential. Timely intervention is required to preserve fertility and avoid the need for a hysterectomy. A case of CP is reported and the challenges in the diagnosis and management are discussed.

Keywords: Cervical ectopic pregnancy; magnetic resonance imaging; transabdominal ultrasound; transvaginal ultrasound.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Transabdominal ultrasound section showing the typical hour-glass configuration of the uterus that measures 8.98 cm with a ballooned-out cervical canal containing a gestational sac measuring 4.7 cm × 4.1 cm
Figure 2
Figure 2
Transvaginal ultrasound section showing a thickened endometrium measuring 2.1 cm
Figure 3
Figure 3
Transabdominal ultrasound section showing the fetal pole with a crown rump length of 2.33 cm
Figure 4
Figure 4
T2-weighted sagittal section of the pelvis showing a gestational sac with fetal pole in the cervix (arrow) and hour-glass configuration of the uterus
Figure 5
Figure 5
Review transvaginal ultrasound scan at 4 weeks showing absence of fetal parts with an organized blood clot measuring 3.3 cm × 2.4 cm

References

    1. Leeman LM, Wendland CL. Cervical ectopic pregnancy. Diagnosis with endovaginal ultrasound examination and successful treatment with methotrexate. Arch Fam Med. 2000;9:72–7. - PubMed
    1. Cepni I, Ocal P, Erkan S, Erzik B. Conservative treatment of cervical ectopic pregnancy with transvaginal ultrasound-guided aspiration and single-dose methotrexate. Fertil Steril. 2004;81:1130–2. - PubMed
    1. Mashiach S, Admon D, Oelsner G, Paz B, Achiron R, Zalel Y. Cervical Shirodkar cerclage may be the treatment modality of choice for cervical pregnancy. Hum Reprod. 2002;17:493–6. - PubMed
    1. Spitzer D, Steiner H, Graf A, Zajc M, Staudach A. Conservative treatment of cervical pregnancy by curettage and local prostaglandin injection. Hum Reprod. 1997;12:860–6. - PubMed
    1. Fylstra DL, Coffey MD. Treatment of cervical pregnancy with cerclage, curettage and balloon tamponade. A report of three cases. J Reprod Med. 2001;46:71–4. - PubMed

Publication types

LinkOut - more resources