Heterotopic cervical pregnancy successfully treated with transvaginal ultrasound-guided aspiration and cervical-stay sutures.

OBJECTIVE

To present a case of a heterotopic cervical pregnancy successfully treated with transvaginal ultrasound-guided aspiration and cervical-stay sutures.

DESIGN

Case report.

SETTING

Tertiary academic IVF program.

PATIENT(S): A 35-year-old woman who conceived from IVF-ET treatment at 5.5 weeks of gestation.

INTERVENTION(S): Transvaginal ultrasound-guided aspiration of the cervical pregnancy followed by cervical-stay sutures to control hemorrhage after aspiration.

MAIN OUTCOME MEASURE(S): Recovery of the patient, preservation of the intrauterine pregnancy, and sequelae.

RESULTS(S): The cervical pregnancy was successfully aborted, and the intrauterine pregnancy progressed to term.

CONCLUSION(S): Transvaginal ultrasound-guided aspiration in combination with hemostatic cervical-stay sutures can be safely used to manage heterotopic cervical pregnancies.