Journal article Open Access
Ioannis K. Thanasas; Tilemachos D. Karalis
The current case report refers to the timely diagnosis and conservative invasive treatment of a patient with cervical ectopic pregnancy. Secundigravida with multiple pregnancy terminations on her medical history visited the emergency examination office of our clinic reporting minor vaginal blood discharge during the last few days, accompanied by a deep, mild pain located at lower abdomen and loin. Urine hCG pregnancy test was positive. Last menstrual period was not possible to be determined precisely due to repetitive termination of pregnancies during the most recent period of time. Trans-vaginal ultrasound set the diagnosis of cervical ectopic pregnancy, and a conservative surgical treatment of the patient was decided. In the Operating Room, after evacuating the endocervix and the uterine cavity, a prophylactic vaginal and cervical tamponade was performed. After two days, the patient was discharged from our clinic in good general condition. In the current paper, after the presentation of the case, a brief literature review is attempted of this rare obstetric complication, based on the current data, related to its etiopathogenesis, diagnosis, treatment and prognosis.