Conservative management of cervical pregnancy. A case-report.

Tunis Med

Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle, Tunis.

Published: September 2008

Background: cervical pregnancy is one of the rarest ectopic locations. It can be responsible of spontaneous haemorrhage enquiring hysterectomy. Ultrasonography technical improvements allow early diagnosis and conservative treatment.

Aim: This study aims to report a new case of cervical pregnancy treated conservatively.

Case Report: patient with cervical pregnancy diagnosed on ultrasonography and treated by one dose systemic methotrexate requiring a second injection because of no decreasing of serum beta human chorionic gonadotrophin level leading to expulsion of the pregnancy one month later.

Conclusion: methotrexate is the standard treatment of early diagnosed cervical pregnancy. When haemorrhage occurs, many therapeutic methods allow conservative treatment in order to preserve fertility.

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