Cervical ectopic pregnancy on the portio: conservative case management and clinical review

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.

Key Words: Ectopic pregnancy, cervical pregnancy, portio pregnancy, trophoblast