Cem

Cervical Ectopic Pregnancy
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Vaginal bleeding, abdominal pain
Complications	Severe hemorrhage, uterine rupture
Onset
Duration
Types	N/A
Causes	Implantation of the embryo in the cervical canal
Risks	Previous ectopic pregnancy, assisted reproductive technology
Diagnosis	Ultrasound, Beta-hCG levels
Differential diagnosis	N/A
Prevention	N/A
Treatment	Methotrexate, surgical intervention
Medication	N/A
Prognosis	Variable, depending on early detection and treatment
Frequency	Rare
Deaths	N/A

Cervical ectopic pregnancy is a rare form of ectopic pregnancy where the embryo implants within the cervix rather than the uterine cavity. This condition poses significant risks due to the potential for severe hemorrhage and other complications.

Pathophysiology

Cervical ectopic pregnancy occurs when the fertilized ovum implants in the cervical canal. The cervix is not designed to support a growing pregnancy, lacking the muscular and vascular structure of the uterine body. As the pregnancy progresses, the risk of bleeding and uterine rupture increases.

Risk Factors

Several factors may increase the risk of cervical ectopic pregnancy, including:

• Previous ectopic pregnancy
• Use of assisted reproductive technology
• History of cervical surgery or trauma
• Presence of uterine anomalies

Clinical Presentation

Patients with cervical ectopic pregnancy may present with:

• Vaginal bleeding
• Abdominal pain
• Absence of intrauterine pregnancy on ultrasound

Diagnosis

Diagnosis of cervical ectopic pregnancy is typically made through:

• Transvaginal ultrasound: This imaging technique can identify the location of the pregnancy within the cervix.
• Beta-hCG levels: Abnormal rise or plateau in hormone levels may indicate an ectopic pregnancy.

Management

Management of cervical ectopic pregnancy requires careful consideration to preserve fertility and prevent complications. Treatment options include:

Medical Management

• Methotrexate: A chemotherapeutic agent used to terminate the pregnancy and prevent further growth.

Surgical Management

• Dilation and curettage (D&C): May be performed to remove the ectopic tissue.
• Cervical cerclage: A surgical procedure to reinforce the cervix and prevent bleeding.
• Hysterectomy: In severe cases, removal of the uterus may be necessary.

Prognosis

The prognosis for cervical ectopic pregnancy varies. Early detection and treatment are crucial to prevent severe complications and preserve fertility. The risk of recurrence in future pregnancies is a concern and requires careful monitoring.

Prevention

Preventive measures are limited but may include:

• Careful monitoring of pregnancies in women with known risk factors
• Early ultrasound evaluation in pregnancies following assisted reproductive techniques

See Also

• Ectopic pregnancy
• Obstetrics
• Gynecology

External Links

• [Link to relevant medical resources]