Diagnosis and management of cervical pregnancy with placental implantation: a case report and review of the literature.

INTRODUCTION

Cervical pregnancy is a rare form of ectopic pregnancy that occurs in the cervical canal. Diagnosis and treatment are particularly challenging when the lesion is large and presents without typical symptoms. Here we report a case of cervical pregnancy with placenta accrete.

CASE: A 39-year-old Asian woman presented with amenorrhea for 4 months but no associated symptoms. Doppler ultrasound revealed an enlarged uterus and a mixed echogenic mass in the lower uterine segment extending to the cervix, accompanied by rich blood flow signals. The serum β-HCG concentration was 576.68 mIU/ml. Following multidisciplinary evaluation, The patient underwent total abdominal hysterectomy with an intraoperative blood loss of 600 ml. Postoperative recovery was uneventful.

CONCLUSION

This case underscores the diagnostic and therapeutic complexities associated with cervical pregnancy, especially when patients present with large lesions and atypical symptoms. Serum HCG levels are crucial for effective clinical decision-making.