title: A very rare case of an ectopic cervical intramural pregnancy.
abstract: 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.
authors.affiliation: Department of Obsterics, Gynecology, and Perinatology, Miyazaki Prefectural Nobeoka Hospital, Nobeoka City, Miyazaki Prefecture, Japan. totsuka3@miyazaki-catv.ne.jp
authors.forename: Teruo
authors.initials: T
authors.lastname: Ohtsuka
authors.forename: Toru
authors.initials: T
authors.lastname: Hirata
authors.forename: Takashi
authors.initials: T
authors.lastname: Tsukiyama
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Takana
authors.forename: Hideki
authors.initials: H
authors.lastname: Kawaguchi
authors.forename: Kiminari
authors.initials: K
authors.lastname: Terao
mesh_terms: 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
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate