Fertility Preservation in Treatment of Cervical Pregnancy: A Case Report

Abstract

Background: Cervical pregnancy is a rare life threatening form of ectopic pregnancy. This is a case report of cervical pregnancy. Case Report: We describe a case of cervical pregnancy early diagnosed via transvaginal ultrasound and magnetic resonance imaging (MRI). She was treated through curettage, ligation of descending branch of uterine vessels, and tamponade following treatment failure using methotrexate (MTX) due to the patient's refuse to continue treatment; her fertility was preserved, too. Conclusion: Early diagnosis via vaginal ultrasonography and confirmation of magnetic resonance imaging, and using nonsurgical conservative treatment methods such as methotrexate, ligation of uterine vessels, and cervical tamponade, to preserve the fertility, are the first actions in cervical pregnancy.

Keywords

• Ectopic pregnancy
• Cervix
• Magnetic resonance imaging
• Fertility preservation