Cervical pregnancy diagnosed by ultrasound

The preoperative diagnosis of cervical pregnancy by ultrasound is described. To the authors' knowledge, this is the third such diagnosis that has been reported in the literature. Ultrasound examination showed a gestational sac with smooth margins occupying the entire cervix in a 23-year-old woman. It is suggested that this diagnosis be considered in the appropriate clinical setting of painless first trimester vaginal bleeding in a patient who has had an abortion or other gynecologic surgery.