Viable invasive cervical pregnancy treated with cerclage, bilateral cervical artery ligature, suction curettage, hemostatic sponge and ballon tamponade

Viable invasive cervical pregnancy

Abstract

With an incidence of 1% of all ectopic pregnancies, cervical ectopic pregnancy (CEP) due to possible early misdiagnosis or bleeding and rupture can become a life-threatening condition with the need for urgent hysterectomy, which has been seen in clinical practice until recently. We present a case of early diagnosed invasive CEP treated with combined minimally invasive procedure (MIP) due to acute pelvic pain and bleeding. In our case, we applied several of these methods to a primigravida with early invasive CEP with fertility preservation.

By combining the self-described local medications with uterotonics and cervical anemisation, intravenous tranexamic acid and MIP, we were able to preserve the uterus with minimal blood loss and the possibility of future conception.