Objective:

Cervical pregnancy is a rare form of ectopic pregnancy in which the pregnancy implants in the lining of the endocervical canal. This entity accounts for less than 1 percent of ectopic pregnancies [1]. The incidence is approximately 1 in 9000 pregnancies.

 

Case report:

40 years old, Medical Free

Came to ER. Complaining of vaginal spotting for 2 days 

She is G8P5+2 all by NVD. Except last pregnancy by cesarean section due to breech 1 year ago

GA : 6 weeks + 3 days

Oriented, Vitally stable 

Ultrasound picture:

Empty uterine cavity 

Gestational sac seen below the level of internal os and no fetal pole 

Barrel shaped cervix

Absence of “sliding sign”

Doppler shows blood flow around the gestation sac

 

B-hCG carried out at diagnosis to determine the management which was below 10000 

So we managed successfully by single dose Methotrexate.

 

Consent received from the patient.

 

Discussion:

Early diagnosis and management of this case was very important in saving the patient life.

 

Conclusions:

Any case who visits ER. In early pregnancy with any suspicious complaint should be referred to specialist and do radiology examination to confirm the diagnosis as these cases can trick you and your management may save patients lives.