Title: A Rare Case Report of Cervical Ectopic Pregnancy
Authors: Dr Farhana Haque, Dr Sadia Jabeen Khan
Introduction: Cervical ectopic pregnancy is extremely rare, accounting for less than 1% of all ectopic pregnancies. Its etiology is still unclear. However, there are reports of association with chromosomal abnormalities as well as a prior history of procedures that damage the endometrial lining such as cesarean section, intrauterine device, and in vitro fertilization.
Objective: To find out, to keep records & to follow-up of any rare disease and evaluate the cause of cervical haematoma
Case: A 35-year-old G3P2L2 with previous two lower segment caesarean sections, a referred case presented with complaint of painless excessive bleeding per vaginum for 7 days following menstrual regulation (MR). General examination revealed mild pallor with tachycardia and blood pressure of 100/60 mmHg. On gentle per vaginum examination revealed edematous, patulous cervix & closed external os with active bleeding. The case is reported here for its relative rarity.
Conclusion: Although considered rare, cervical ectopic pregnancy represents major threat due to its risk of major life threatening haemorrhages. Therefore, different methods of treatment were used ranging from hysterectomy up to conservative ones. Hysteroscopic resection has enabled us to remove the product of conception from cervix making the minimal damage to the local tissue, thus preserving fertility. Persisting pervaginal bleeding after menstrual regulation (MR) could be a rare cause of cervical ectopic pregnancy.
Keywords: Cervical pregnancy, hysteroscopy, menstrual regulation.