Cervical heterotopic pregnancy: A case report.

Area of Science:

• Reproductive Medicine
• Gynecology
• Obstetrics

Background:

• Heterotopic pregnancies, where an intrauterine and an ectopic pregnancy coexist, are uncommon and pose diagnostic challenges.
• Cervical pregnancies, a rare form of ectopic pregnancy, are particularly difficult to diagnose early, often leading to misdiagnosis.

Observation:

• A patient presenting with postmenopausal abnormal vaginal bleeding was initially misdiagnosed with a simple intrauterine pregnancy.
• Following an attempted artificial abortion, the patient experienced severe intraoperative hemorrhage due to a coexisting cervical pregnancy.

Findings:

• Prompt diagnosis and intervention are crucial for managing heterotopic pregnancies.
• Selective uterine artery embolization proved effective in controlling massive hemorrhage and managing residual cervical pregnancy tissues, leading to normalization of beta-human chorionic gonadotropin levels and cervical appearance.

Implications:

• This case highlights the diagnostic pitfalls associated with cervical heterotopic pregnancies.
• Early and accurate diagnosis is essential to prevent severe complications and guide appropriate management strategies.
• Uterine artery embolization is a viable and effective treatment option for managing hemorrhage in cervical pregnancies.