[Lithopedion in cervical pregnancy: a case report].

Area of Science:

• Obstetrics and Gynecology
• Reproductive Medicine
• Clinical Case Reports

Background:

• Cervical pregnancy is an exceedingly rare form of ectopic gestation, often presenting diagnostic challenges.
• Early and accurate diagnosis is crucial for effective management and to prevent severe maternal complications.
• Literature review indicates a significant paucity of documented cases, highlighting its rarity.

Observation:

• A clinical case of cervical pregnancy was studied at Hospital Regional ISSSTE in Acapulco, Guerrero, México.
• The patient presented with classic symptoms including intermittent vaginal bleeding, fetid leukorrhea, and mild pelvic pain.
• Diagnosis was established through direct observation of the cervix, meeting Rubin's criteria for cervical pregnancy.

Findings:

• The presented case is a true cervical pregnancy, confirmed clinically and meeting diagnostic criteria.
• The case is unique due to the concurrent finding of a lithopedion (calcified fetus) alongside the cervical pregnancy.
• This combination of cervical pregnancy and lithopedion formation is exceptionally rare in global medical literature.

Implications:

• This case underscores the importance of considering cervical pregnancy in the differential diagnosis of abnormal uterine bleeding during pregnancy.
• The rarity of this combined condition emphasizes the need for detailed case reporting to expand the understanding of obstetric anomalies.
• Further research into diagnostic modalities and management strategies for rare ectopic gestations like cervical pregnancy is warranted.