Clinics in diagnostic imaging (92).
A 43-year-old woman presented with a 10-day history of lower abdominal pain and two days of vaginal bleeding. Ultrasonography showed a sac-like structure within the endocervical canal. The structure had a thick echogenic rim. No foetal heartbeat was seen. Intramuscular methotrexate was given and evacuation of the uterus yielded a small amount of tissue which was revealed histologically as products of conception, confirming the diagnosis of a cervical ectopic pregnancy. The clinical and imaging features of cervical ectopic pregnancy are highlighted.
E
A T Y
AT
Department of Diagnostic Imaging, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. lamsl@kkh.com.sg
Lam
S L
SL
D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014463:Ultrasonography
D008727:Methotrexate