Conservative Management of a Second-Trimester Cervical Ectopic Pregnancy

Ochsner J. 2020 Winter;20(4):459-462. doi: 10.31486/toj.20.0034.

Abstract

Background: Cervical ectopic pregnancy is a rare condition, historically treated by hysterectomy. Case Report: A 33-year-old female at 13 weeks 3 days' gestation was diagnosed with a cervical ectopic pregnancy. She underwent a uterine artery embolization, fetal intrathoracic potassium chloride injection, amniocentesis, and ultrasound-guided suction dilation and curettage with the use of intracervical vasopressin, flowable gelatin with thrombin, and cervical cerclage. Conclusion: Advanced cervical ectopic pregnancy can be successfully managed in a conservative fashion in a patient who strongly desires future fertility.

Keywords: Amniocentesis; dilatation and curettage; fertility preservation; pregnancy–ectopic; ultrasonography; uterine artery embolization.

Publication types

  • Case Reports