Cervical ectopic pregnancy on the portio: conservative case management and clinical review
Received 5 May 2008; accepted 6 June 2008. published online 19 August 2008.
Objective
To present a case and management of an early ectopic pregnancy on the portio.
Design
Case study and literature review.
Setting
Hospital outpatient clinic.
Patient(s)
A 38-year-old woman who presented in the outpatient clinic with a 2-week history of painless acyclic vaginal bleeding.
Intervention(s)
Excision of the ectopic pregnancy under local anesthesia after clinical examination, urine pregnancy test, and serum ß-hCG measurement.
Main Outcome Measure(s)
Conservative treatment options and preservation of patient's reproductive capacity.
Result(s)
Serum ß-hCG was raised. Complete excision of the ectopic lesion was performed without the need for administration of chemotherapeutic agents and curettage. Histology revealed fragments of the cervical wall with a layer of chorionic giant cells and one intact chorionic villi.
Conclusion(s)
Cervical pregnancy is a rare form of ectopic pregnancy. It can be associated with high morbidity and adverse consequences for future fertility, but spontaneous abortion is also possible. We present a case and successful management of an early ectopic pregnancy on the surface of the portio.
ABSTRACT