Cervical ectopic pregnancy with colic abdominal pain
Corresponding Author(s) : Leyla Kuzmar
Ciencia e Innovación en Salud,
Background: Very few case reports of ectopic cervical pregnancy with clear photos are available in the scientific world literature. Is a leading cause of maternal morbidity and mortality with a pregnancy-related mortality. Cervical pregnancy is more common in pregnancies achieved after assisted reproductive technologies; it occurs in 0.1% of in vitro fertilization pregnancies. The potential morbidity demonstrates the importance of early diagnosis of a cervical ectopic
so as early intervention and treatment may be employed. The most common symptom of cervical pregnancy is vaginal bleeding, which is often painless.
Case report: A 39 year old woman, G4 P2 C1 A0 L3, two spontaneous vaginal deliveries and last child birth by caesarean section + Pomeroy 15 years back, who underwent three embryo transfer 6.1 weeks ago; referred to the obstetric emergency department with 8 days increasing colic abdominal pain with some vaginal bleeding.
Discussion: This is an interesting case report with few bleeding and increasing colic abdominal pain that did not answer to methrotexate and required a hysterectomy as the most viable solution.
- Fedorcsák P, Storeng R, Dale PO, Tanbo T, Abyholm T. 2000. Obesity is a risk factor for early pregnancy loss after IVF or ICSI. Acta Obstet Gynecol Scand. 2000; 79(1):43-48.
- Grimes DA. 2006. Estimation of pregnancy-related mortality risk by pregnancy outcome, United States, 1991 to 1999. Am J Obstet Gynecol. Jan; 194(1):92-4. DOI 10.1016/j.ajog.2005.06.070
- Hofmann HM, Urdl W, Höfler H, Hönigl W, Tamussino K. 1987. Cervical pregnancy: case reports and current concepts in diagnosis and treatment. Arch Gynecol Obstet. 241:63-69.
- Kung, Fu-Tsai, et al. 1997. Subsequent reproduction and obstetric outcome after methotrexate treatment of cervical pregnancy: a review of original literature and international collaborative follow-up. Human Reproduction. 12(3):591-595.
- Kuzmar I, Cortés E, Rizo M. 2014. Age group, menarche and regularity of menstrual cycles as efficiency predictors in the treatment of overweight. Nutr Hosp. 31(2): 637-641. DOI 10.3305/nh.2015.31.2.7501
- Palazzetti, P., Cipriano, L., Spera, G., Aboullkilair, M., Pachi, A. 1997. Hysterectomy in women with cervical pregnancy complicated by life threatening bleeding: A case report. Clin Exp Obstet Gynecol. 24(2):74 75.
- Perkins KM, Boulet SL, Kissin DM, Jamieson DJ, the National ART Surveillance (NASS) Group. 2015. Risk of Ectopic Pregnancy Associated With Assisted Reproductive Technology in the United States, 2001–2011. Obstet Gynecol. 125(1):70-78. DOI 10.1097/AOG.0000000000000584
- Pyrgiotis, E., Sultan, K., Neal, G., Hung-Ching, L., Grifo, J., Rosenwaks, Z. 1994. Ectopic pregnancies after in vitro fertilization and embryo transfer. DOI 10.1007/BF02215992
- Raskin, M. 1978. Diagnosis of cervical pregnancy by ultrasound: A case report. Am J Obstet Gynecol. 130:234-235.
- Sharma A., Ojha R., Mondal S., Chattopadhyay S., Sengupta P. 2013. Cervical intramural pregnancy: Report of a rare case. Niger Med J. 54:271–273.
- Singh S. 2013. Diagnosis and management of cervical ectopic pregnancy. 2013. J Hum Reprod Sci. 6(4):273-276. DOI 10.4103/0974-1208.126312.
- Stratoudakis, G., Zygouris, D., Kastrinakis, K., Daskalakis, G., Panagopoulos, P. 2015. Cervical Pregnancy: A case report. HJOG. 14(1).