Cervical Ectopic Pregnancy, a Case Report and Literature Review
Journal of Gynecology and Obstetrics
Volume 8, Issue 4, July 2020, Pages: 85-90
Received: May 28, 2020; Accepted: Jun. 15, 2020; Published: Jun. 28, 2020
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Authors
Daisy Massoud, Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon; Faculty of Medicine, University of Balamand, Beirut, Lebanon
Rawad Halimeh Rawad Halimeh, Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon; Faculty of Medicine, University of Balamand, Beirut, Lebanon
Rita Sleiman, Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon; Faculty of Medicine, University of Balamand, Beirut, Lebanon
Amine Geahchan, Faculty of Medicine, University of Balamand, Beirut, Lebanon; Department of Diagnostic Radiology, Saint George Hospital University Medical Center, University of Balamand, Achrafieh, Beirut, Lebanon
Ali Abdallah, Faculty of Medicine, University of Balamand, Beirut, Lebanon; Department of Diagnostic Radiology, Saint George Hospital University Medical Center, University of Balamand, Achrafieh, Beirut, Lebanon
Joe Feghali, Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon; Faculty of Medicine, University of Balamand, Beirut, Lebanon
Bahige Arida, Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon; Faculty of Medicine, University of Balamand, Beirut, Lebanon
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Abstract
Cervical ectopic pregnancies (CEP) are rare, comprising less than 1% of ectopic pregnancies with an incidence of one in 2500 to one in 18000, and 1 to 2.0% of all pregnancies. Due to the rich cervical vascularity and the incompatibility of the cervix to hold an advancing pregnancy, there is a marked increase in the potential of hemorrhage leading to mortality, morbidity, and infertility experienced by the implicated women. There is a divergence of preferences among health care providers for CEP management which ranges from non-surgical methods to hysterectomy. However, a timely diagnosis increases the likelihood of implementing more conservative methods and retaining patients’ fertility. New improvements in high-resolution ultrasonography made earlier diagnosis possible, which lead to the development of many conservative treatment approaches that avoid the need for a hysterectomy and preserve fertility. A high index of suspicion, combined with a detailed review of clinical and radiological findings, is essential to make an accurate diagnosis of cervical pregnancy. Our case presents early diagnosis made of a cervical ectopic pregnancy treated medically with the avoidance of surgical intervention and its associated risks. Early diagnosis is essential as it decreases the risks of future infertility and decreases the risk of fatal complications associated with such pregnancies.
Keywords
Cervical Ectopic Pregnancy, Medical Versus Surgical Treatment, Preservation of Fertility, Radiological Findings in Cervical Ectopic Pregnancy
To cite this article
Daisy Massoud, Rawad Halimeh Rawad Halimeh, Rita Sleiman, Amine Geahchan, Ali Abdallah, Joe Feghali, Bahige Arida, Cervical Ectopic Pregnancy, a Case Report and Literature Review, Journal of Gynecology and Obstetrics. Vol. 8, No. 4, 2020, pp. 85-90. doi: 10.11648/j.jgo.20200804.13
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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