title: Conserving fertility with early management of cervical pregnancy. A case report.
abstract: BACKGROUND
  Cervical pregnancy can be a life-threatening entity, with the diagnosis often made on the hysterectomy specimen. A case of distal ectopic pregnancy involved the endocervical canal, and prompt diagnosis and treatment allowed the preservation of fertility.
  
  
  METHODS
  The patient presented at six weeks' gestation with vaginal bleeding. Serial ultrasound examinations revealed a viable pregnancy and ultimately suggested placental implantation within the endocervical canal. Curettage was performed using cervical stay sutures at the three and nine o'clock positions, with minimal bleeding and no postoperative morbidity. One year after the procedure the patient had a spontaneous delivery of a full-term male following an unremarkable prenatal course.
  
  
  CONCLUSIONS
  Improvements in sonography and serum testing have allowed earlier diagnosis and hence greater success with conservative management of cervical pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, University of Maryland Medical System, Baltimore, USA.
authors.forename: I
authors.initials: I
authors.lastname: Kligman
authors.forename: T J
authors.initials: TJ
authors.lastname: Adachi
authors.forename: E
authors.initials: E
authors.lastname: Katz
authors.forename: H D
authors.initials: HD
authors.lastname: McClamrock
authors.forename: G A
authors.initials: GA
authors.lastname: Jockle
authors.forename: B
authors.initials: B
authors.lastname: Barakat
mesh_terms: D000328:Adult; D002584:Cervix Uteri; D004107:Dilatation and Curettage; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D011271:Pregnancy, Ectopic / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D013536:Suture Techniques; D016216:Ultrasonography, Prenatal; D014592:Uterine Hemorrhage / Q000209:etiology