A very rare case of an ectopic cervical intramural pregnancy.
OBJECTIVE
To report a case of a very rare ectopic cervical intramural pregnancy.


METHODS
Case report.


METHODS
Prefectural hospital.


METHODS
A 22-year-old woman, gravida 1, para 0, was referred to our hospital with the suspicion of a cervical ectopic pregnancy (EP). Pelvic examination revealed an enlarged uterine cervix with no genital bleeding. We found a clear gestational sac (GS) and fetal heart beat in the anterior muscular layer of the uterine cervix by ultrasonography, and confirmed these findings by magnetic resonance imaging (MRI).


METHODS
We injected methotrexate (MTX) into the GS cavity and around the GS. One week later, the GS was removed surgically without massive bleeding.


METHODS
On the 11th postoperative day, she recovered and was discharged from our hospital. Her menstruation restarted on the 35th postoperative day.


RESULTS
We have shown a case of a very rare ectopic cervical intramural pregnancy with successful treatment.


CONCLUSIONS
We have explained a case and successful treatment of a very rare ectopic cervical intramural pregnancy with clear GS and fetal heart beat. Our strategy was injecting MTX into the GS cavity and around the GS, then performing an operation to remove the GS.
Ohtsuka
Teruo
T
Department of Obsterics, Gynecology, and Perinatology, Miyazaki Prefectural Nobeoka Hospital, Nobeoka City, Miyazaki Prefecture, Japan. totsuka3@miyazaki-catv.ne.jp
Hirata
Toru
T
Tsukiyama
Takashi
T
Takana
Hiroaki
H
Kawaguchi
Hideki
H
Terao
Kiminari
K
D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use*; D002584:Cervix Uteri / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008727:Methotrexate / Q000627:therapeutic use*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D035583:Rare Diseases / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D055815:Young Adult
D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate