Cervical ectopic pregnancy: A case report of missed diagnosis

Abstract

Cervical pregnancy is a rare form of ectopic pregnancy with an estimated incidence of 0.1-1% of all ectopic pregnancies. It is defined as a pregnancy that implants in the cervical canal below the internal os and within the cervical mucosa. Treatment varies from conservative management to hysterectomy depending on the clinical presentation and the time of diagnosis. Diagnosis may be missed unless the clinician and the radiologist are aware of this entity. We present a case of cervical pregnancy in a 30-year-old female who was diagnosed outside as missed abortion and was referred for termination of pregnancy. During suction evacuation, she had severe uncontrollable bleeding. Laparotomy revealed the presence of an ectopic cervical pregnancy for which hysterectomy had to be done. We present this case to highlight the importance of correct diagnosis in these cases to avoid such a catastrophe.

Keywords

• Cervical pregnancy
• ectopic pregnancy
• hysterectomy