Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 16 , ISSUE 5 ( September-October, 2024 ) > List of Articles

CASE REPORT

Cervical Ectopic Pregnancy with Diagnostic Challenges and Conservative Surgical Management: A Case Report

Raja Rajeswari KS, Sadhana Karthikeyan, Priya Shaunthini

Keywords : Case report, Cervical ectopic, Descending cervical artery ligation, Sliding sign

Citation Information : KS RR, Karthikeyan S, Shaunthini P. Cervical Ectopic Pregnancy with Diagnostic Challenges and Conservative Surgical Management: A Case Report. J South Asian Feder Obs Gynae 2024; 16 (5):561-563.

DOI: 10.5005/jp-journals-10006-2506

License: CC BY-NC 4.0

Published Online: 23-10-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Cervical ectopic is a rare potentially life-threatening condition where a fertilized egg implants in cervical canal instead of uterine cavity. This abnormal implantation can lead to catastrophic hemorrhage. This condition poses significant diagnostic and management challenges and we present one such case. She was a 30-year-old parous woman with previous two cesarean sections on lactational amenorrhea with complaints of bleeding per vaginum for 15 days, with an ultrasound scan done elsewhere suggestive of cesarean scar ectopic pregnancy. Sonological and clinical examination clinched the diagnosis of cervical ectopic pregnancy. She was initially started on medical management, which failed and she had profuse bleeding per vaginum, hence had to proceed to surgical management. With preparedness for all consequences, proceeded with suction evacuation under ultrasound guidance. When bleeding was profuse even after complete evacuation tried bilateral descending cervical artery ligation which helped to achieve complete hemostasis. Diagnostic hysteroscopy was done to confirm the findings. Intracervical Foley's tamponade was kept at the end of the procedure. We are presenting this case to emphasize the importance of applying clinical guidelines promptly and correctly in our day today's clinical practice to achieve the best outcome. Early detection and prompt intervention are crucial to prevent complications and preserve fertility.


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