Cervical ectopic pregnancy. Report of two cases

Atamari-Anahui N.; Paucar-Tito L.; Ccorahua-Ríos M.S.; Morales-Concha L.; Girón-López L.E. · Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo (2020) · DOI: 10.35434/rcmhnaaa.2020.133.747

Resumen

Background. Cervical ectopic pregnancy is the implantation of the embryo in the lining of the endocervical canal lining. It represents less than 1% of all ectopic pregnancies. Case description: We report two patients who come to the emergency room for transvaginal bleeding. The diagnosis of cervical ectopic pregnancy was made by transvaginal ultrasound (7- and 8-weeks' gestation). Treatment was started with methotrexate (28-year-old patient) and methotrexatefolinic acid (35-year-old patient). Due to the increase in human chorionic gonadotropin hormone, it was decided to perform an abdominal hysterectomy (28-year-old patient) and McDonald-type cervical curettagecerclage (35-year-old patient). There were no complications after surgery in both patients. Conclusions: The treatment of cervical ectopic pregnancy is controversial. The most appropriate therapy should be chosen to preserve fertility and avoid complications such as bleeding.

Instituciones: Universidad Nacional de San Antonio Abad del Cusco; Universidad San Ignacio de Loyola