Related Experiment Video
Updated: Jul 16, 2025
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Successful conservative management of a large 12-week-old cervical ectopic pregnancy in a nulliparous woman: a case
John Jude Kweku Annan1, Stephen Ansah-Asamoah2, Benedict Apaw Agyei2,3
1Department of Obstetrics and Gynecology, School of Medicine and Dentistry, Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Abstract:
Cervical ectopic pregnancy (CEP) accounts for less than 0.1% of all ectopic pregnancies. CEP is associated with high morbidity and mortality potential due to the associated life-threatening hemorrhage. When it is large, detected late, and occurs in a nulliparous woman, management is more challenging as it requires the need to preserve the uterus. We present a case of a 33-year-old nulliparous woman with a large live cervical ectopic pregnancy at 12 weeks + 1 day gestation and a very high serum β-HCG of 126,750 Miu/ml. She was successfully managed with suction curettage and cervical encerclage tamponade in order to preserve the uterus. The treatment was associated with significant hemorrhage and a prolonged period of follow-up. In low-resource settings, uterine-conserving management of CEP can be challenging, and curettage with cervical encerclage tamponade can be a cost-effective treatment modality even though it is associated with significant haemorrhage and prolonged treatment period.
