Cervical Ectopic Pregnancy: A Puzzling Event

Authors

  • Shahana Begum Chittagong Medical College, Chittagong
  • Afroza Ferdous Chittagong Medical College, Chittagong
  • Munawar Sultana Chittagong Medical College, Chittagong
  • Rowshan Ara Begum Chittagong Medical College, Chittagong

DOI:

https://doi.org/10.3329/cmoshmcj.v13i2.21072

Keywords:

Cervical ectopic pregnancy, methotrexate (MTX), intractable bleeding, emergency hysterectomy

Abstract

Cervical ectopic pregnancy is the implantation of the conceptus within the cervix below the level of internal os1. Such pregnancy typically aborts within the first trimester, if it is implanted closer to the uterine cavity called cervico isthmic pregnancy it may continue longer2. Cervical pregnancy accounts for less than 1% of all ectopic pregnancies, with an estimated incidence of 1 in 2500 to 1 in 18000. Though the pregnancy in this area is uncommon but possibly life threatening condition due to risk of severe hemorrhage and may need hysterectomy2,3. Early detection and conservative approach of treatment limit the morbidity and preserve fertility. A 37 year old lady para 4+0 diagnosed as a case of cervical ectopic pregnancy with intractable bleeding and save the patient by emergency hysterectomy to control hemorrhage. The case is reported here for its relative rarity.

DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21072

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Author Biographies

Shahana Begum, Chittagong Medical College, Chittagong

Department of Obstetrics & Gynaecology

Afroza Ferdous, Chittagong Medical College, Chittagong

Department of Obstetrics & Gynaecology

Munawar Sultana, Chittagong Medical College, Chittagong

Department of Obstetrics & Gynaecology

Rowshan Ara Begum, Chittagong Medical College, Chittagong

Department of Obstetrics & Gynaecology

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Published

2014-12-01

How to Cite

Begum, S., Ferdous, A., Sultana, M., & Begum, R. A. (2014). Cervical Ectopic Pregnancy: A Puzzling Event. Chattagram Maa-O-Shishu Hospital Medical College Journal, 13(2), 63–66. https://doi.org/10.3329/cmoshmcj.v13i2.21072

Issue

Section

Case Reports