Related Experiment Video
Updated: Jul 2, 2026
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Cervical ectopic pregnancy on the portio: conservative case management and clinical review
Bernhard Kraemer1, Harald Abele, Markus Hahn
1University Hospital for Women, Tuebingen, Germany. elizabethkraemer@gmx.de
Objective:
To present a case and management of an early ectopic pregnancy on the portio.
Design:
Case study and literature review.
Setting:
Hospital outpatient clinic.
Patient(S):
A 38-year-old woman who presented in the outpatient clinic with a 2-week history of painless acyclic vaginal bleeding.
Intervention(S):
Excision of the ectopic pregnancy under local anesthesia after clinical examination, urine pregnancy test, and serum ss-hCG measurement.
Main Outcome Measure(S):
Conservative treatment options and preservation of patient's reproductive capacity.
Result(S):
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.
Conclusion(S):
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.