Cervical Ectopic Pregnancy (CEP) – A Case Report

Abstract

Ectopic pregnancy is the implantation of fertilized ovum at an abdominal site. Cervical ectopic pregnancy is an extremely rare form of pregnancy where the implantation of the egg occurs. It usually presents with uncontrolled vaginal haemorrhage during the first trimester of pregnancy. It can be rarely found in the second trimester of pregnancy. The early diagnosis using ultrasonography methods likely transvaginal sonography and βhcg. In this case, 30 years old patient came to the hospital after taking MTP twice in a week and local examination showed a normal uterus and enlarged cervix and an antenatal scan revealed the gestational sac with a foetal pole and good cardiac activity within the lower uterine segment. Due to heavy vaginal bleeding for 2 weeks emergency laparotomy with bilateral tubectomy has been performed. Here we concluded that cervical pregnancy is a rare condition that can be fatal if not recognised and treated promptly. Chemotherapy administration may be the first line of therapy, but there may be a risk of excessive haemorrhage which may require a more radical approach done instantly.