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Conserving fertility with early management of cervical pregnancy. A case report
I Kligman1, T J Adachi, E Katz
1Department of Obstetrics and Gynecology, University of Maryland Medical System, Baltimore, USA.
Background:
Cervical pregnancy can be a life-threatening entity, with the diagnosis often made on the hysterectomy specimen. A case of distal ectopic pregnancy involved the endocervical canal, and prompt diagnosis and treatment allowed the preservation of fertility.
Case:
The patient presented at six weeks' gestation with vaginal bleeding. Serial ultrasound examinations revealed a viable pregnancy and ultimately suggested placental implantation within the endocervical canal. Curettage was performed using cervical stay sutures at the three and nine o'clock positions, with minimal bleeding and no postoperative morbidity. One year after the procedure the patient had a spontaneous delivery of a full-term male following an unremarkable prenatal course.
Conclusion:
Improvements in sonography and serum testing have allowed earlier diagnosis and hence greater success with conservative management of cervical pregnancy.