[Cervical ectopic pregnancy. Hysteroscopy treatment, case report]

Area of Science:

• Reproductive Medicine
• Gynecologic Surgery

Background:

• Cervical ectopic pregnancy is a rare obstetric complication, accounting for ~0.1% of all ectopic pregnancies.
• Historically, diagnosis often occurred post-curettage for incomplete abortion, leading to severe hemorrhage and hysterectomy.

Observation:

• The thin cervical wall makes trophoblast invasion particularly dangerous, risking intractable bleeding and mutilating surgeries.
• Current literature lacks clear diagnostic and management criteria for cervical ectopic pregnancy.

Findings:

• A case of cervical ectopic pregnancy was successfully treated using operative hysteroscopy ablation.
• Proposed criteria for decision-making in managing cervical ectopic pregnancy are presented.

Implications:

• Operative hysteroscopy ablation presents a viable, less invasive treatment option for cervical ectopic pregnancy.
• The proposed criteria may aid clinicians in managing this rare but dangerous condition, potentially reducing the need for hysterectomy.