Diagnosis and treatment of cervical ectopic pregnancy – case report

Abstract

Diagnosis and treatment of cervical ectopic pregnancy – case report A. Dobrosavljevic 1 , B. Nikolic 1,2 , A. Jurisisc 1,2 , N. Zečević 1,2 , R. Aničić 1,2 , M. Jeftović 3 1The Obstetrics and Gynecology Clinic Narodni Front, Belgrade 2University of Belgrade School of Medicine, Belgrade 3Clinic of Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade (Serbia) Summary Cervical pregnancy is a rare form of ectopic pregnancy with frequency less than 1%. Etiology is not sufficiently clarified, and a treatment depending on several factors begins with a conservative one, mainly in asymptomatic patients, and most often goes from methotrexate, through curettage to hysterectomy in case of profuse and life threatening bleeding. The present case reports a 35-yearold patient, without most commonly mentioned etiological factors for cervical pregnancy, who underwent curettage in eight weeks of amenorrhea with administration of a chemical coagulant, human fibrinogen, and human thrombin set. Key words: Cervical ectopic pregnancy; Curettage; Chemical coagulant; Human fibrinogen; Human Summary Cervical pregnancy is a rare form of ectopic pregnancy with frequency less than 1%. Etiology is not sufficiently clarified, and a treatment depending on several factors begins with a conservative one, mainly in asymptomatic patients, and most often goes from methotrexate, through curettage to hysterectomy in case of profuse and life threatening bleeding. The present case reports a 35-yearold patient, without most commonly mentioned etiological factors for cervical pregnancy, who underwent curettage in eight weeks of amenorrhea with administration of a chemical coagulant, human fibrinogen, and human thrombin set. Key words: Cervical ectopic pregnancy; Curettage; Chemical coagulant; Human fibrinogen; Human