Cervical ectopic pregnancy on the portio: conservative case management and clinical review.
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.
Kraemer
Bernhard
B
University Hospital for Women, Tuebingen, Germany. elizabethkraemer@gmx.de
Abele
Harald
H
Hahn
Markus
M
Wallwiener
Diethelm
D
Rajab
Taufiek K
TK
Hornung
Rene
R
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
D006063:Chorionic Gonadotropin