title: Conservative management of cervical pregnancy. A case-report.
abstract: BACKGROUND
  cervical pregnancy is one of the rarest ectopic locations. It can be responsible of spontaneous haemorrhage enquiring hysterectomy. Ultrasonography technical improvements allow early diagnosis and conservative treatment.
  
  
  OBJECTIVE
  This study aims to report a new case of cervical pregnancy treated conservatively.
  
  
  METHODS
  patient with cervical pregnancy diagnosed on ultrasonography and treated by one dose systemic methotrexate requiring a second injection because of no decreasing of serum beta human chorionic gonadotrophin level leading to expulsion of the pregnancy one month later.
  
  
  CONCLUSIONS
  methotrexate is the standard treatment of early diagnosed cervical pregnancy. When haemorrhage occurs, many therapeutic methods allow conservative treatment in order to preserve fertility.
authors.affiliation: Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle, Tunis.
authors.forename: Sonia
authors.initials: S
authors.lastname: Ben Hamouda
authors.forename: Nadia
authors.initials: N
authors.lastname: Ouerdiane
authors.forename: Walid
authors.initials: W
authors.lastname: Daaloul
authors.forename: Abdelwaheb
authors.initials: A
authors.lastname: Masmoudi
authors.forename: Badreddine
authors.initials: B
authors.lastname: Bouguerra
authors.forename: Rachida
authors.initials: R
authors.lastname: Sfar
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use*; D000328:Adult; D002584:Cervix Uteri; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000188:drug therapy*
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate