Cervical ectopic pregnancy on the portio: conservative case management and clinical review

Fertility and Sterility
Bernhard KraemerRene Hornung

Abstract

To present a case and management of an early ectopic pregnancy on the portio. Case study and literature review. Hospital outpatient clinic. A 38-year-old woman who presented in the outpatient clinic with a 2-week history of painless acyclic vaginal bleeding. Excision of the ectopic pregnancy under local anesthesia after clinical examination, urine pregnancy test, and serum ss-hCG measurement. Conservative treatment options and preservation of patient's reproductive capacity. Serum ss-hCG was raised. Complete excision of the ectopic lesion was performed without the need for administration of chemotherapeutic agents and curettage. Histology revealed fragments of the cervical wall with a layer of chorionic giant cells and one intact chorionic villi. Cervical pregnancy is a rare form of ectopic pregnancy. It can be associated with high morbidity and adverse consequences for future fertility, but spontaneous abortion is also possible. We present a case and successful management of an early ectopic pregnancy on the surface of the portio.

References

Nov 1, 1980·Postgraduate Medical Journal·S A Farghaly, J G Mathie
Mar 4, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E KirkT Bourne
Feb 3, 2007·Obstetrics and Gynecology·Guillermo A De La VegaDominic Marchiano
Jul 17, 2007·Journal of Minimally Invasive Gynecology·Gerardo Vela, Togas Tulandi

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Citations

Jun 2, 2018·Case Reports in Emergency Medicine·Keitaroh TakedaSusan Watts

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