Severe complication after termination of a second trimester cervical pregnancy.
OBJECTIVE
To report a supracervical hysterectomy performed after a life-threatening hemorrhage due to an attempted surgical termination at a gestational age of 18 weeks, which appeared to be a cervical pregnancy.


METHODS
Case report.


METHODS
Teaching hospital.


METHODS
A 36-year-old pregnant woman, with two previous cesarean sections.


METHODS
Supracervical hysterectomy.


METHODS
Not applicable.


RESULTS
A stable patient.


CONCLUSIONS
By missing a cervical pregnancy in the second trimester, a life-threatening hemorrhage occurred after an attempted surgical termination. In case of failure of the conservative therapy this rare diagnosis should be considered. A supracervical hysterectomy at this gestational age is the only therapeutic option.
Hanstede
Miriam M F
MM
Department of Obstetric and Gynaecology, Spaarne Ziekenhuis, Hoofddorp, The Netherlands.
van't Hof
Dirk B
DB
van Groningen
Krijn
K
de Graaf
Irene M
IM
D000032:Abortion, Therapeutic / Q000009:adverse effects*; D000328:Adult; D001803:Blood Transfusion; D005260:Female; D006801:Humans; D007044:Hysterectomy; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011271:Pregnancy, Ectopic / Q000628:therapy*; D012720:Severity of Illness Index; D012769:Shock / Q000209:etiology; D016896:Treatment Outcome; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000628:therapy