Hysteroscopic treatment of cervical pregnancy: case report

Abstract

Of ectopic pregnancies, cervical implantation pregnancy is an exceptional entity, corresponding to less than 1% of ectopic pregnancies. With an incidence calculated at 1: 2500 to 1: 12,000 pregnancies. The risk factors for cervical pregnancy are the same as for other ectopic pregnancies. This entity, a difference from tubaric pregnancy where bleeding is within the peritoneal cavity, the main risk is incoercible vaginal bleeding, which usually ends in a hysterectomy, which limits the reproductive future of patients. There are currently no established criteria for candidates for medical versus surgical treatment. This case reports a case of cervical ectopic pregnancy, treated with Methotrexate, and culminating with hysteroscopy resection.

Successful conservative management of live cervical ectopic pregnancy: case report

“…There is a shift of modern clinical practice that has led to the development of more conservative treatments that attempt to limit morbidity and preserve fertility. [1][2][3] Cervical glands are opposite the trophoblastic tissue, the trophoblastic attachment is below the entrance of the uterine vessels to the uterus, and fetal elements are absent from the uterine corpus This confirms the diagnosis of a rare presentation of cervical pregnancy based on Rubin's criteria. 4 The exact cause of cervical pregnancy is not known.…”

“…The accelerated migration of the fertilized ovum through the uterus and the change in the ability of the endometrial lining to accept implantation and damage to the endometrial canal may all be the contributing factor. 1,2 internal os, products of conception entirely confined within the cervix and firmly attached to the endocervix. Ultrasound criteria were empty uterus, hourglass shape of uterus, ballooned out cervical canal, gestational sac and placental tissue in the cervical canal, closed internal os and sliding sign absent.…”