[Primary sterility and cervical pregnancy. A case report].

Area of Science:

• Obstetrics and Gynecology
• Reproductive Medicine

Background:

• Cervical pregnancy is a rare form of ectopic gestation, often presenting as an obstetric emergency.
• This case involves a patient with a history of primary infertility and previous cervical surgery for benign pathology.
• Pregnancy was achieved following medical and surgical treatment for infertility.

Observation:

• The patient presented at 11 weeks gestation with symptoms suggestive of abortion.
• Initial ultrasound findings were atypical, leading to suspicion of abdominal pregnancy.
• Laparotomy revealed an enlarged cervix with a closed external os, indicative of cervical pregnancy.

Findings:

• A diagnosis of cervical pregnancy was made in a patient lacking common risk factors for ectopic pregnancy.
• The patient underwent conservative management including cervical evacuation, endometrial curettage, and vaginal tamponade.
• The patient's recovery was satisfactory following the conservative treatment approach.

Implications:

• This case underscores the importance of considering cervical surgery and infertility history in suspected cervical pregnancies, even in the absence of typical risk factors.
• The findings suggest that a thorough patient history, including prior cervical interventions, is crucial for accurate diagnosis.
• Further case reports are needed to generalize findings and refine management strategies for cervical pregnancy in unique patient profiles.