Bilateral internal iliac artery ligation in cervical pregnancy: conservation of reproductive function

Like other forms of ectopic gestation, cervical pregnancy is a serious complication with potentially life-threatening consequences. Excessive bleeding almost invariably follows an attempt to evacuate this rare ectopic pregnancy. In most reported cases, hysterectomy has been required to control the severe hemorrhage. This paper reports for the first time the successful conservative management of cervical pregnancy in two patients by bilateral internal iliac artery ligation alone. Early recognition of the cervical pregnancy and prompt internal iliac artery ligation are stressed.