Cervical intramural ectopic pregnancy.

OBJECTIVE

To describe a cervical intramural ectopic pregnancy.

DESIGN

Case report.

SETTING

Maternity hospital.

PATIENT(S): A 28-year-old multiparous woman was seen with vaginal bleeding and a positive urinary pregnancy test after delayed menstruation. Ultrasonography and pelvic examination revealed an empty uterine cavity and a hyperechoic focus within an enlarged cyanotic anterior cervical lip. Vaginal bleeding was controlled with aspiration curettage; however, macroscopic and ultrasonographic views of the cervix remained the same. One week later the anterior cervical lip was found to be ruptured.

INTERVENTION(S): Decidual tissue was removed from the ruptured area.

MAIN OUTCOME MEASURE(S): Histopathologic confirmation of chorionic villi and presence of a connection between the endocervix and the ruptured area.

RESULT(S): No connection was found with the endocervical channel when controlled with a 1-mm Hegar uterine dilator, and histopathologic examination of removed materials revealed chorionic villi.

CONCLUSION(S): The cervical intramural ectopic pregnancy is an extraordinary clinical situation and might lead to diagnostic and therapeutic challenges.