Vol 1 No 1 (2018): Current Issue
Case Report

Cervical Ectopic Pregnancies after Spontaneous Conception: Case Reports

Anzhel S
SBAGAL "Prof. d-r Dimityr Stamatov", Varna, Ltd, Varna, Bulgaria
Kovachev E
SBAGAL “Prof. d-r Dimityr Stamatov”, Ltd, Varna, Bulgaria
Zhekov Z
SBAGAL “Prof. d-r Dimityr Stamatov”, Ltd, Varna, Bulgaria
Kisyov S
SBAGAL “Prof. d-r Dimityr Stamatov”, Ltd, Varna, Bulgaria
Tsvetkov K
Medical University “Prof. d-r Paraskev Stoyanov”, Varna, Bulgaria
Aleksandrov A
Medical University “Prof. d-r Paraskev Stoyanov”, Varna, Bulgaria
Published December 16, 2018
Keywords
  • Cervical pregnancy,
  • Suction curettage,
  • Hemorrhage,
  • Ultrasound diagnosis

Abstract

Cervical pregnancy (CP) is a rare form of ectopic pregnancy (< 1%) located on the lining of the endocervical canal with frequency at about 1 in 1 000 to 1 in 18 000 deliveries. Cervical gestation is extremely rare beyond 20 weeks and there are few reports in the literature of vaginal live birth with a high mortality risk. Awareness and early diagnosis is essential due to the possibility of a life-threatening hemorrhage, treated with hysterectomy in the past. Cervical ectopic pregnancy can be mistaken on ultrasound examination with similar pathologies and due to the differences in the management and the outcome an accurate diagnosis is of a great importance. Authors describe two cases of ectopic pregnancies in the isthmico-cervical region successfully terminated with a nonsurgical approach.

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