title: Cervical ectopic pregnancy on the portio: conservative case management and clinical review.
abstract: OBJECTIVE
  To present a case and management of an early ectopic pregnancy on the portio.
  
  
  METHODS
  Case study and literature review.
  
  
  METHODS
  Hospital outpatient clinic.
  
  
  METHODS
  A 38-year-old woman who presented in the outpatient clinic with a 2-week history of painless acyclic vaginal bleeding.
  
  
  METHODS
  Excision of the ectopic pregnancy under local anesthesia after clinical examination, urine pregnancy test, and serum ss-hCG measurement.
  
  
  METHODS
  Conservative treatment options and preservation of patient's reproductive capacity.
  
  
  RESULTS
  Serum ss-hCG was raised. Complete excision of the ectopic lesion was performed without the need for administration of chemotherapeutic agents and curettage. Histology revealed fragments of the cervical wall with a layer of chorionic giant cells and one intact chorionic villi.
  
  
  CONCLUSIONS
  Cervical pregnancy is a rare form of ectopic pregnancy. It can be associated with high morbidity and adverse consequences for future fertility, but spontaneous abortion is also possible. We present a case and successful management of an early ectopic pregnancy on the surface of the portio.
authors: University Hospital for Women, Tuebingen, Germany. elizabethkraemer@gmx.de
authors: Bernhard
authors: B
authors: Kraemer
authors: Harald
authors: H
authors: Abele
authors: Markus
authors: M
authors: Hahn
authors: Diethelm
authors: D
authors: Wallwiener
authors: Taufiek K
authors: TK
authors: Rajab
authors: Rene
authors: R
authors: Hornung
mesh_terms: D000032:Abortion, Therapeutic; D000328:Adult; D002584:Cervix Uteri / Q000473:pathology / Q000601:surgery*; D006063:Chorionic Gonadotropin / Q000097:blood / Q000652:urine; D005260:Female; D006801:Humans; D011247:Pregnancy; D011258:Pregnancy Tests; D011271:Pregnancy, Ectopic / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D014592:Uterine Hemorrhage / Q000209:etiology / Q000601:surgery
chemical_list: D006063:Chorionic Gonadotropin