Management of Live Cervical Ectopic Pregnancy

Abstract

We report a case of live cervical ectopic pregnancy (CEP) at 6 weeks gestation. A 36-year-old nulliparous who presented with mild bleeding in vagina. She was haemodynamic ally stable with a serum B-hCG of 10713. A transvaginal ultrasound scan showed an empty uterus and lives cervical ectopic pregnancy with a fetal pole measuring 7.1 mm and yolk sac with negative sliding sign. She was counselled on options of management and had hysteroscopy and surgical evacuation under ultrasound guidance with no complications and post-operative methotrexate injection. She had a significant drop in her serial B-hCG and urine pregnancy test 3 weeks after surgery was negative.