Successful conservative management of live cervical ectopic pregnancy: case report


  • Juhi L. Khithani Department of Obstretrics and Gynaecology, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India
  • Pradnya B. Supe Department of Obstretrics and Gynaecology, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India
  • Meenal S. Sarmalkar Department of Obstretrics and Gynaecology, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India



Cervical ectopic pregnancy, Intraamniotic methotrexate injection, Transvaginal ultrasonography, Conservative management


Cervical ectopic pregnancy (CEP) is an exceptional type of ectopic pregnancy, representing <1% of the ectopic pregnancy with incidence 1:2500 to 1:12000. It can lead to life threatening complication and torrential bleeding and even necessitate the need for hysterectomy. A 30-year-old patient referred to Lokmanya Tilak Municipal Medical College with transvaginal sonography suggestive of live CEP. Because of patient’s stable condition, it was treated with ultrasound-guided intra-amniotic methotrexate administration. Day 1 β-HCG was 4200 IU/L, day 10 489 IU/L. Gradual decrease of β-HCG levels was coinciding with ultrasonographic finding of absence of gestational sac. During hospitalization, patient reported only minimal vaginal spotting on day 3 of treatment and discharged on day 10 with weekly β-HCG followup. CEP was managed conservatively without surgical intervention, preserving patient’s fertility. Timely detection of CEP and prompt action can save patients fertility with minimal or no surgical intervention.

Author Biography

Juhi L. Khithani, Department of Obstretrics and Gynaecology, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India



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