Cervical ectopic gestation is a serious and potentially lethal condition
considered exceptional in in vitro fertilization. Early diagnosis is critical to
successful treatment and preservation of fertility. We report a rare case of
cervical pregnancy after in vitro fertilization and embryo transfer,
successfully treated exclusively with electrical aspiration. Case report: A
36-year-old patient attended the Department of Human Reproduction at
Pérola Byington Hospital in 2015 due to primary infertility with no
apparent cause for seven years. Subjected to ovulation induction with
recombinant depot FSH and GnRh analogue, triggered with chorionic gonadotropin.
It evolved with the collection of ten oocytes and transfer of two embryos, with
cryopreservation of the remaining ones. The control with serial ultrasound
showed a gestational sac in uterine cervix topography, indicating gestation of
six weeks, confirmed after 24 hours by a second operator. The treatment was
successfully performed by electric aspiration with an
EasyGrip® cannula of 6 mm in diameter, without the
occurrence of hemorrhage or the need for other procedures. Early diagnosis
allowed successful conservative treatment with only cervical aspiration. The
literature review confirms the rarity of the case, but does not indicate
consensus on the best treatment of cervical ectopic pregnancy.