Cervical Pregnancy: A Case Report

CERVICAL PREGNANCY A CASE REPORT DR ANKITA MAGO [1], DR SHAILJA RANI [2] [1]Senior resident department of obstetrics and gynecology, Bhagwan Mahavir Hospital, [2] Head of department obstetrics and gynecology, Bhagwan Mahavir Hospital, Delhi AIIMS AND OBJECTIVES Reporting a case of cervical ectopic pregnancy and fertility sparing management of the same successfully. MATERIALS AND METHODS Cervical pregnancy is a rare entity less than 1 % of of all ectopic pregnancies. A 35 year old primigravida patient infertiltiy treated married life 9 years reported at our hospital on 4 august midnight with complaints of pain abdomen and bleeding per vaginum since 4 hours. She was a booked case of a tertiary hospital. Her usg on 4 july 2017 was 8 weeks cervical pregnancy with cardiac activity, on 4 august 10 weeks cervical pregnancy with cardiac ctivity. Patient did not take any treatment uptil then. her vitals were BP 90/60 mm Hg and pulse rate 100 /min. After counselling and informed consent under local anesthesia cervical curettage was done followed by insertion of no 18 foleys catheter inflated with 40 ml saline for tamponade. Post operative period was uneventful. She was given one dose of injection methotrexate 50 mg/m2. Her beta hcg declined and she resumed her periods after two months. RESULTS AND CONCLUSION Histopathology report confirmed prescence of chorionic villi and decidual tissue with cervical stroma and glands. Use of assisted reprodutive technologies are causing increased incidence of it. The success of conservative treatment depends on the timely diagnosis and management and thus avoiding the need of hysterectomy.