Cervical Ectopic Pregnancy, a Case Report and Literature Review

Daisy Massoud; Rawad Halimeh Rawad Halimeh; Rita Sleiman; Amine Geahchan; Ali Abdallah; Joe Feghali; Bahige Arida

doi:doi:10.11648/j.jgo.20200804.13

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Cervical Ectopic Pregnancy, a Case Report and Literature Review

Daisy Massoud, Rawad Halimeh Rawad Halimeh, Rita Sleiman, Amine Geahchan, Ali Abdallah, Joe Feghali, Bahige Arida

Published in Journal of Gynecology and Obstetrics (Volume 8, Issue 4)

Received: 28 May 2020 Accepted: 15 June 2020 Published: 28 June 2020

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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.

Published in	Journal of Gynecology and Obstetrics (Volume 8, Issue 4)
DOI	10.11648/j.jgo.20200804.13
Page(s)	85-90
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Cervical Ectopic Pregnancy, Medical Versus Surgical Treatment, Preservation of Fertility, Radiological Findings in Cervical Ectopic Pregnancy

References

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APA Style

Daisy Massoud, Rawad Halimeh Rawad Halimeh, Rita Sleiman, Amine Geahchan, Ali Abdallah, et al. (2020). Cervical Ectopic Pregnancy, a Case Report and Literature Review. Journal of Gynecology and Obstetrics, 8(4), 85-90. https://doi.org/10.11648/j.jgo.20200804.13

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ACS Style

Daisy Massoud; Rawad Halimeh Rawad Halimeh; Rita Sleiman; Amine Geahchan; Ali Abdallah, et al. Cervical Ectopic Pregnancy, a Case Report and Literature Review. J. Gynecol. Obstet. 2020, 8(4), 85-90. doi: 10.11648/j.jgo.20200804.13

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AMA Style

Daisy Massoud, Rawad Halimeh Rawad Halimeh, Rita Sleiman, Amine Geahchan, Ali Abdallah, et al. Cervical Ectopic Pregnancy, a Case Report and Literature Review. J Gynecol Obstet. 2020;8(4):85-90. doi: 10.11648/j.jgo.20200804.13

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@article{10.11648/j.jgo.20200804.13,
  author = {Daisy Massoud and Rawad Halimeh Rawad Halimeh and Rita Sleiman and Amine Geahchan and Ali Abdallah and Joe Feghali and Bahige Arida},
  title = {Cervical Ectopic Pregnancy, a Case Report and Literature Review},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {8},
  number = {4},
  pages = {85-90},
  doi = {10.11648/j.jgo.20200804.13},
  url = {https://doi.org/10.11648/j.jgo.20200804.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200804.13},
  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.},
 year = {2020}
}

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TY  - JOUR
T1  - Cervical Ectopic Pregnancy, a Case Report and Literature Review
AU  - Daisy Massoud
AU  - Rawad Halimeh Rawad Halimeh
AU  - Rita Sleiman
AU  - Amine Geahchan
AU  - Ali Abdallah
AU  - Joe Feghali
AU  - Bahige Arida
Y1  - 2020/06/28
PY  - 2020
N1  - https://doi.org/10.11648/j.jgo.20200804.13
DO  - 10.11648/j.jgo.20200804.13
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 85
EP  - 90
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20200804.13
AB  - 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.
VL  - 8
IS  - 4
ER  -

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Author Information

Daisy Massoud

Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon
Rawad Halimeh Rawad Halimeh

Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon
Rita Sleiman

Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon
Amine Geahchan

Faculty of Medicine, University of Balamand, Beirut, Lebanon
Ali Abdallah

Faculty of Medicine, University of Balamand, Beirut, Lebanon
Joe Feghali

Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon
Bahige Arida

Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon

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APA Style

Daisy Massoud, Rawad Halimeh Rawad Halimeh, Rita Sleiman, Amine Geahchan, Ali Abdallah, et al. (2020). Cervical Ectopic Pregnancy, a Case Report and Literature Review. Journal of Gynecology and Obstetrics, 8(4), 85-90. https://doi.org/10.11648/j.jgo.20200804.13

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ACS Style

Daisy Massoud; Rawad Halimeh Rawad Halimeh; Rita Sleiman; Amine Geahchan; Ali Abdallah, et al. Cervical Ectopic Pregnancy, a Case Report and Literature Review. J. Gynecol. Obstet. 2020, 8(4), 85-90. doi: 10.11648/j.jgo.20200804.13

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AMA Style

Daisy Massoud, Rawad Halimeh Rawad Halimeh, Rita Sleiman, Amine Geahchan, Ali Abdallah, et al. Cervical Ectopic Pregnancy, a Case Report and Literature Review. J Gynecol Obstet. 2020;8(4):85-90. doi: 10.11648/j.jgo.20200804.13

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@article{10.11648/j.jgo.20200804.13,
  author = {Daisy Massoud and Rawad Halimeh Rawad Halimeh and Rita Sleiman and Amine Geahchan and Ali Abdallah and Joe Feghali and Bahige Arida},
  title = {Cervical Ectopic Pregnancy, a Case Report and Literature Review},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {8},
  number = {4},
  pages = {85-90},
  doi = {10.11648/j.jgo.20200804.13},
  url = {https://doi.org/10.11648/j.jgo.20200804.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200804.13},
  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.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Cervical Ectopic Pregnancy, a Case Report and Literature Review
AU  - Daisy Massoud
AU  - Rawad Halimeh Rawad Halimeh
AU  - Rita Sleiman
AU  - Amine Geahchan
AU  - Ali Abdallah
AU  - Joe Feghali
AU  - Bahige Arida
Y1  - 2020/06/28
PY  - 2020
N1  - https://doi.org/10.11648/j.jgo.20200804.13
DO  - 10.11648/j.jgo.20200804.13
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 85
EP  - 90
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20200804.13
AB  - 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.
VL  - 8
IS  - 4
ER  -

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