Article Details

2017 | October-December | Issue4
Medical Management of Cervical Ectopic Pregnancy
Anup Kapse, Sushil Kumar


A 27-year-old woman, primigravida, presented with a history of 8 weeks of amenorrhea and painless vaginal bleeding. Pelvic examination revealed ballooned-up cervix smeared with blood. The urine pregnancy test was positive. Ultrasonography showed a gestational sac of approximately 0.6 cm implanted in the anterior wall of cervix but the uterus was empty. The patient was diagnosed as a case of cervical ectopic pregnancy based on clinical and sonographic findings. As this was her first pregnancy, it was decided to follow a conservative approach. She was treated with methotrexate (MTX) six doses on alternate days with folinic acid, administered intramuscularly. The patient made a remarkable recovery. She stopped bleeding after 1 week of MTX therapy, the gestational sac was not seen after 30 days, and the beta human chorionic gonadotropin (hCG) level decreased continuously and was undetectable after 55 days of MTX therapy.

Keywords: Cervical pregnancy, Ectopic pregnancy, Methotrexate.

How to cite this article: Kapse A, Kumar S. Medical Management of Cervical Ectopic Pregnancy. MGM J Med Sci 2017;4(4):185-186.

Source of support: MGMIHS

Conflict of interest: None

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