Cervical intramural ectopic pregnancy.
OBJECTIVE
To describe a cervical intramural ectopic pregnancy.


METHODS
Case report.


METHODS
Maternity hospital.


METHODS
A 28-year-old multiparous woman was seen with vaginal bleeding and a positive urinary pregnancy test after delayed menstruation. Ultrasonography and pelvic examination revealed an empty uterine cavity and a hyperechoic focus within an enlarged cyanotic anterior cervical lip. Vaginal bleeding was controlled with aspiration curettage; however, macroscopic and ultrasonographic views of the cervix remained the same. One week later the anterior cervical lip was found to be ruptured.


METHODS
Decidual tissue was removed from the ruptured area.


METHODS
Histopathologic confirmation of chorionic villi and presence of a connection between the endocervix and the ruptured area.


RESULTS
No connection was found with the endocervical channel when controlled with a 1-mm Hegar uterine dilator, and histopathologic examination of removed materials revealed chorionic villi.


CONCLUSIONS
The cervical intramural ectopic pregnancy is an extraordinary clinical situation and might lead to diagnostic and therapeutic challenges.
Taşkin
Salih
S
Aksaray Maternity Hospital, Aksaray, Turkey. salihtaskin@yahoo.com
Taşkin
Elif Aylin
EA
Cengiz
Bora
B
D000328:Adult; D002584:Cervix Uteri / Q000000981:diagnostic imaging / Q000473:pathology*; D006063:Chorionic Gonadotropin / Q000097:blood; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology*; D012422:Rupture, Spontaneous; D014463:Ultrasonography
D006063:Chorionic Gonadotropin