title: Successful management of cervical pregnancy with medical intervention only: a case report.
abstract: BACKGROUND
  Cervical pregnancies are a rare form of ectopic pregnancy. They frequently present with hemorrhage and require hysterectomy to control bleeding. Their incidence may be higher with in vitro fertilization than previously considered. Since future fertility is desired in these patients, conservative management is frequently attempted. Increased early surveillance leads to earlier diagnosis and intervention. Most case reports to date indicated treating with either medical and surgical intervention or surgical intervention.
  
  
  METHODS
  A 36-year-old woman presented with recurrent pregnancy loss and tubal disease. In vitro fertilization was recommended. Embryo transfer resulted in a cervical pregnancy. She experienced painless vaginal bleeding shortly after her positive pregnancy test. A cervical pregnancy was diagnosed by early ultrasound. The patient underwent successful medical management and complete resolution with methotrexate alone.
  
  
  CONCLUSIONS
  Cervical pregnancy, when diagnosed early, can be successfully treated with medical therapy.
authors.affiliation: Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta 30912-3360, USA. aemmi@mcg.edu
authors.forename: Adelina M
authors.initials: AM
authors.lastname: Emmi
authors.forename: Lawrence D
authors.initials: LD
authors.lastname: Devoe
authors.forename: Daksha B
authors.initials: DB
authors.lastname: Chudgar
authors.forename: Erin
authors.initials: E
authors.lastname: Holsten
authors.forename: Lawrence C
authors.initials: LC
authors.lastname: Layman
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000328:Adult; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D004624:Embryo Transfer / Q000009:adverse effects; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000008:administration & dosage*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000209:etiology; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate