EC Gynaecology

Case Report Volume 12 Issue 7 - 2023

Successful Management of Cervical Ectopic Pregnancy

Suneeta Mittal1* and Deepika S Hooda2

1Professor, Director and Head, Department of Obstetrics and Gynecology, Fortis Memorial Research Institute, Gurugram, NCR, India

2Consultant, Department of Obstetrics and Gynecology, Fortis Memorial Research Institute, Gurugram, NCR, India

*Corresponding Author: Suneeta Mittal, Professor, Director and Head, Department of Obstetrics and Gynecology, Fortis Memorial Research Institute, Gurugram, NCR, India.
Received: June 04, 2023; Published: June 29, 2023



There is a global increase in the number of ectopic pregnancies including pregnancies in unusual sites like caesarean scar or cervical pregnancy. These cases present a diagnostic as well as management dilemma. In these rare cases there is no consensus on optimal management. We report a case successfully managed and discuss issues in diagnosis and management.

Keywords: Cervical Pregnancy; Ectopic Pregnancy; Hysteroscopic Resection; Methotrexate; Suction Evacuation

  1. Bouyer J., et al. “Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases”. Human Reproduction 17 (2002): 3224.
  2. Vela G and Tulandi T. “Cervical pregnancy: the importance of early diagnosis and treatment”. The Journal of Minimally Invasive Gynecology 14 (2007): 481.
  3. Matorras R., et al. “Cervical pregnancy in assisted reproduction: an analysis of risk factors in 91,067 ongoing pregnancies”. Reproductive BioMedicine Online 40 (2020): 355.
  4. Kung FT., et al. “Differential diagnosis of suspected cervical pregnancy and conservative treatment with the combination of laparoscopy-assisted uterine artery ligation and hysteroscopic endocervical resection”. Fertility and Sterility 81 (2004): 1642.
  5. Jung SE., et al. “Characteristic MR findings of cervical pregnancy”. Journal of Magnetic Resonance Imaging 13 (2001): 918.
  6. Mesogitis S., et al. “Management of early viable cervical pregnancy”. BJOG: An International Journal of Obstetrics and Gynaecology 112 (2005): 409.
  7. Kirk E., et al. “The conservative management of cervical ectopic pregnancies”. Ultrasound in Obstetrics and Gynecology 27 (2006): 430.
  8. Jeng CJ., et al. “Transvaginal ultrasound-guided treatment of cervical pregnancy”. Obstetrics and Gynecology 109 (2007): 1076.
  9. Weibel HS., et al. “Multidose methotrexate treatment of cervical pregnancy”. Journal of Obstetrics and Gynaecology Canada 34 (2012): 359.
  10. Doubilet PM., et al. “Sonographically guided minimally invasive treatment of unusual ectopic pregnancies”. Journal of Ultrasound in Medicine 23 (2004): 359.
  11. Mittal S and Aggarwal P. “Current Trends in Management of Caesarean Scar Pregnancy”. EC Gynaecology 12 (2020): 23-28.
  12. Kim TJ., et al. “Clinical outcomes of patients treated for cervical pregnancy with or without methotrexate”. Journal of Korean Medical Science 19 (2004): 848.
  13. Tanos V., et al. “Hysteroscopic management of cervical pregnancy: Case series and review of the literature”. Journal of Gynecology Obstetrics and Human Reproduction 48 (2019): 247.
  14. Monteagudo A., et al. “Minimally Invasive Treatment of Cesarean Scar and Cervical Pregnancies Using a Cervical Ripening Double Balloon Catheter: Expanding the Clinical Series”. Journal of Ultrasound in Medicine 38 (2019): 785.
  15. Kus LH., et al. “Maternal Morbidity After Double Balloon Catheter Management of Cesarean Scar and Cervical Pregnancies”. Obstetrics and Gynecology 140 (2022): 993.
  16. Fylstra DL. “Cervical pregnancy: 13 cases treated with suction curettage and balloon tamponade”. American Journal of Obstetrics and Gynecology 210 (2014): 581.e1.
  17. Takeda J., et al. “Spontaneous uterine rupture at 32 weeks of gestation after previous uterine artery embolization”. Journal of Obstetrics and Gynaecology Research 40 (2014): 243.
  18. Wang Y., et al. “An efficient conservative treatment modality for cervical pregnancy: angiographic uterine artery embolization followed by immediate curettage”. American Journal of Obstetrics and Gynecology 204 (2011): 31.e1.
  19. Elmokadem AH., et al. “Uterine Artery Embolization and Methotrexate Infusion as Sole Management for Caesarean Scar and Cervical Ectopic Pregnancies: A Single-Center Experience and Literature Review”. Canadian Association of Radiologists Journal 70 (2019): 307.

Suneeta Mittal and Deepika S Hooda. Successful Management of Cervical Ectopic Pregnancy. EC Gynaecology 12.7 (2023): 57-62.