title: [Early diagnosis and management of cervical ectopic pregnancy].
abstract: BACKGROUND
  Cervical pregnancy is the rarest of ectopic pregnancy. The classical treatment remains hysterectomy, in particular when diagnosis is made late. The possibilities of more and more premature diagnoses, sometimes before any clinical expression, let suspect the possibility of conservative treatments. We report two cases of medical treatment for early diagnosed cervical pregnancies.
  
  
  OBJECTIVE
  Through a review of the literature, we resume diagnostic criteria and various therapeutic possibilities.
  
  
  METHODS
  The two cases were diagnosed in the first trimester. The treatment consisted in intramuscular administration of methotrexate. The first patient had ultrasound-Guided feticide before the administration of methotrexate.
  
  
  CONCLUSIONS
  Actually, vaginal ultrasound allows early diagnosis of cervical pregnancies, even before the beginning of vaginal bleeding. This advancement allowed conservative treatment. In this situation, current reference is the methotrexate to which can be associated an intracardiac potassium chloride injection in case of embryo positive heart activity.
authors.affiliation: Service A du centre de maternité et de néonatologie Tunis.
authors.forename: Dalenda
authors.initials: D
authors.lastname: Chelli
authors.forename: Kaouther
authors.initials: K
authors.lastname: Dimassi
authors.forename: Mouna
authors.initials: M
authors.lastname: Bouaziz
authors.forename: Soumaya
authors.initials: S
authors.lastname: Manai
authors.forename: Zouaoui
authors.initials: Z
authors.lastname: Béchir
authors.forename: Ezzeddine
authors.initials: E
authors.lastname: Sfar
authors.forename: Héla
authors.initials: H
authors.lastname: Chelli
authors.forename: Mohamed
authors.initials: M
authors.lastname: Badis Chennoufi
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage; D000328:Adult; D002584:Cervix Uteri; D006063:Chorionic Gonadotropin / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007044:Hysterectomy; D007231:Infant, Newborn; D007273:Injections, Intramuscular; D008297:Male; D008727:Methotrexate / Q000008:administration & dosage; D011189:Potassium Chloride / Q000008:administration & dosage; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000175:diagnosis / Q000000981:diagnostic imaging; D011379:Prognosis; D012307:Risk Factors; D013997:Time Factors; D014463:Ultrasonography
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D006063:Chorionic Gonadotropin; D011189:Potassium Chloride; D008727:Methotrexate