Publikation

Cervical ectopic pregnancy on the portio: conservative case management and clinical review

Wissenschaftlicher Artikel/Review - 01.11.2008

Bereiche
PubMed
DOI

Zitation
Kraemer B, Abele H, Hahn M, Wallwiener D, Rajab T, Hornung R. Cervical ectopic pregnancy on the portio: conservative case management and clinical review. Fertility and sterility 2008; 90:2011.e1-4.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
Fertility and sterility 2008; 90
Veröffentlichungsdatum
01.11.2008
eISSN (Online)
1556-5653
Seiten
2011.e1-4
Kurzbeschreibung/Zielsetzung

OBJECTIVE: To present a case and management of an early ectopic pregnancy on the portio. DESIGN: Case study and literature review. SETTING: Hospital outpatient clinic. PATIENT(S): A 38-year-old woman who presented in the outpatient clinic with a 2-week history of painless acyclic vaginal bleeding. INTERVENTION(S): Excision of the ectopic pregnancy under local anesthesia after clinical examination, urine pregnancy test, and serum ss-hCG measurement. MAIN OUTCOME MEASURE(S): Conservative treatment options and preservation of patient's reproductive capacity. RESULT(S): Serum ss-hCG was raised. Complete excision of the ectopic lesion was performed without the need for administration of chemotherapeutic agents and curettage. Histology revealed fragments of the cervical wall with a layer of chorionic giant cells and one intact chorionic villi. CONCLUSION(S): Cervical pregnancy is a rare form of ectopic pregnancy. It can be associated with high morbidity and adverse consequences for future fertility, but spontaneous abortion is also possible. We present a case and successful management of an early ectopic pregnancy on the surface of the portio.