Cervical pregnancy: our practical attitude and review of the literature

Abstract

Objective: to analyze our practical attitude with cervical pregnancy diagnosis by ultrasound.

Patient: it was a case of cervical pregnancy 7 weeks of amenorrhea, ultrasound diagnosis in a nulliparous patient of 24 years. Our practical conduct was the administration of a mixed treatment namely a surgical treatment with suction curettage, compression banding of the cervix and a medical treatment based on 50 mg methotrexate intramuscularly per day for 5 days. The patient was discharged on her sixth day of hospitalization in good general condition. We did not do preventive ligation of the cervico-vaginal arteries, there was no intra amniotic injection of KCL or methotrexate, and we did not use a hemostasis hysterectomy.

Conclusion: Pelvic ultrasound remains an essential contribution in the early diagnosis of cervical pregnancy. Mixed treatment seems to give satisfactory results for pregnancies less than 9 weeks of amenorrhea. If hysterectomy is a treatment that seems to have been abandoned, it remains valid in cases of cervical pregnancy of more than 12 weeks of amenorrhea.