Cervical Ectopic Pregnancy : A Diagnostic Dilemma

Abstract

Cervical pregnancy is defined as implantation and development of the fertilized ovum within the cervical structure without involving the corpus uteri. This rare ectopic gestation has been reported in the literature infrequently. We report here a case presenting late with life threatening vaginal bleeding. G3 P2L2 with Previous two Caesarean sections with history of amenorrhea of 3 months presented to our emergency obstetric unit with heavy bleeding per-vaginum since one day. Patient gave history of having taken abortive pills from a private practitioner, details of which were not available. Differential diagnosis of cervical abortion and scar site pregnancy were considered. Ultrasound features can help diagnose this condition with fair accuracy. Ultimately an emergency salvage Hysterectomy was needed to save the life of the patient.