Cervical heterotopic pregnancy: a rare occurrence
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20251776Keywords:
Ectopic pregnancy, Heterotopic pregnancy, Cervical ectopic pregnancy, Products of conceptionAbstract
Ectopic pregnancy is one of the leading causes of first-trimester gestation-related mortality. Cervical ectopic is a rare entity (less than 1% of all ectopic cases), heterotopic cervical pregnancy is a much rarer occurrence. Cervical pregnancy is highly dangerous and demands immediate termination of pregnancy as the chances of haemorrhage are too high, leading to maternal mortality. Although there are various approaches to terminate cervical pregnancy, it is challenging when accompanied by a live intrauterine pregnancy. Ultrasound-guided transcervical aspiration of the products of conception is the most suitable option in these cases. Here we describe a case of cervical heterotopic pregnancy, which we successfully and safely terminated using the above approach.
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References
Abusheikha N, Salha O, Brinsden P. Extra-uterine pregnancy following assisted conception treatment. Hum Reprod. 2000;6:80-92. DOI: https://doi.org/10.1093/humupd/6.1.80
Singh S. Diagnosis and management of cervical ectopic pregnancy. J Hum Reprod Sci. 2013;6:273–6. DOI: https://doi.org/10.4103/0974-1208.126312
Köninger A, Nguyen BP, Schwenk U, Vural M, Iannaccone A, Theysohn J, et al. Cervical ectopic pregnancy–the first case of live birth and uterus-conserving management. BMC Preg Child. 2023;23(1):664. DOI: https://doi.org/10.1186/s12884-023-05951-5
Jozwiak EA, Ulug U, Akman MA, Bahceci M. Successful resection of a heterotopic cervical pregnancy resulting from intracytoplasmic sperm injection. Fertil Steril. 2003;79:428-30. DOI: https://doi.org/10.1016/S0015-0282(02)04662-9
Moragianni VA, Hamar BD, McArdle C, Ryley DA. Management of a cervical heterotopic pregnancy presenting with first-trimester bleeding: case report and review of the literature. Fert Ster. 2012;98(1):89-94. DOI: https://doi.org/10.1016/j.fertnstert.2012.04.003