title: Cervical pregnancy.
abstract: OBJECTIVE
  To present a case of successful management of a heavily bleeding cervical ectopic pregnancy with ultrasound-guided termination procedure of evacuation.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 34-year-old woman, secundigravida with one previous full-term natural childbirth and history of one spontaneous abortion, with a cervical pregnancy.
  
  
  METHODS
  Prophylactic suture ligation of the cervicovaginal branches of the uterine artery, with absorbable sutures at the 3 and 9 o'clock positions of the cervix. Evacuation, with dilatation and curettage, under transabdominal ultrasound guidance was performed. Control of hemorrhage by placing a running-lock absorbable suture around the entire edge of the cervix followed by cervical packing with iodoform gauze medicated with anticoagulant drugs.
  
  
  METHODS
  Recovery of the patient, successful conservative treatment of the cervical ectopic pregnancy, with preservation of the uterus.
  
  
  RESULTS
  The cervical ectopic pregnancy was successfully evacuated, and the reproductive capability of the patient was preserved.
  
  
  CONCLUSIONS
  Ultrasound-guided evacuation with prophylactic closure of the cervical branches of the uterine artery and application of a running-lock suture around the cervix can be used in case of heavily bleeding cervical ectopic pregnancy.
authors.affiliation: Dipartimento Salute della Donna e Medicina Territoriale, Sapienza Università di Roma, Azienda Ospedaliera Sant'Andrea Roma, Rome, Italy. pianchi@libero.it
authors.forename: Paola
authors.initials: P
authors.lastname: Bianchi
authors.forename: Massimo Maria
authors.initials: MM
authors.lastname: Salvatori
authors.forename: Francesco
authors.initials: F
authors.lastname: Torcia
authors.forename: Giuliana
authors.initials: G
authors.lastname: Cozza
authors.forename: Bruno
authors.initials: B
authors.lastname: Mossa
mesh_terms: D000032:Abortion, Therapeutic; D000328:Adult; D002584:Cervix Uteri; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D016216:Ultrasonography, Prenatal