DIAGNOSTIC CHALLENGE AND CONSERVATIVE MANAGEMENT OF CERVICAL PREGNANCY WITH UTEREUS PRESERVATION

Anita Morarcalieva Chochkova; Marina Nakova; Nevenka Velickova; Bashkim Ismaili; Blazhe Chochkov

Anita Morarcalieva Chochkova PHI General Hospital Gevgelija, North Macedonia
Marina Nakova PHI General Hospital Gevgelija, North Macedonia
Nevenka Velickova Faculty of Medical Sciences, University Goce Delcev, Stip, North Macedonia
Bashkim Ismaili SHGO Mother Theresa Chair, Skopje, North Macedonia
Blazhe Chochkov PHI General Hospital Gevgelija, North Macedonia

Abstract

Cervical pregnancy is a rare form of ectopic pregnancy in which the embryo implants in the
lining of the endocervical canal. Clinical criteria and ultrasound features, supplemented by rapid assay of
serum human chorionic gonadotropin (hCG), make the diagnosis easier and more accurate. Depending on
the time of diagnosis and the patientâ€™s condition, management can be conservative or operative
Case: We present a rare case of cervical pregnancy with all the diagnostic challenges for making
an early diagnosis and choosing the right treatment regimen, which can be life saving for the patients and
can reduce the chance of severe hemorrhage necessitating hysterectomy or blood transfusion
Early diagnosis, appropriate methotrexate regimen and combination of necessary adjuvant
conservative procedures could contribute to successful treatment with preservation of the uterus and
future reproductive ability.
Keywords: Cervical pregnancy, human chorionic gonadotropin, transvaginal ultrasound,
methotrexate, vaginal bleeding.

https://doi.org/10.55302/JMS2361093mch

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