title: Severe complication after termination of a second trimester cervical pregnancy.
abstract: 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.
authors.affiliation: Department of Obstetric and Gynaecology, Spaarne Ziekenhuis, Hoofddorp, The Netherlands.
authors.forename: Miriam M F
authors.initials: MM
authors.lastname: Hanstede
authors.forename: Dirk B
authors.initials: DB
authors.lastname: van't Hof
authors.forename: Krijn
authors.initials: K
authors.lastname: van Groningen
authors.forename: Irene M
authors.initials: IM
authors.lastname: de Graaf
mesh_terms: 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