[01] Hatav Ghasemi Tehrani, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. [02] Minoo Movahedi, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. [03] Leila Hashemi, Department of Obstetrics and Gynecology, Yazd University of Medical Sciences, Yazd, Iran. [04] Mojdeh Ghasemi, ShahidBeheshti Hospital, Isfahan University of Medical Science, Isfahan, Iran.

Ectopic pregnancy is abnormal implantation site of ovum. Incidence of ectopic pregnancy is 1.5–2%.Itis mostly commonly related with rise of age. Cervical ectopic pregnancy is one case in 2500 or one case in 1000 pregnancy. Cervix is uncommon site for pregnancy. Treatment of ectopic pregnancy is dividing to conservative and surgical. Conservative treatments are Methotrexate or inject KCL in fetus heart. Surgical treatment is D&C or tymponad in cervix or balloon in it or uterine artery embolization and finally hysterectomy. Here we present the cervical ectopic pregnancy that present with retard of menstruation. She is a 37 years old woman Gravida2, live child1, Gestational age was 4weeks,ß–HCG level was 800IU, transvaginal sonography showed no fetal pole and no fetal heart rate and no yolk sac in gestational age6weeks. She had done multiple sonography and in the last sonography, the yolk sac in cervix was seen and ß -HCG rise from 58850 to 83332. Her past surgical history had shown myomectomy several years ago. At first we decided to inject Methotrexate in gestational sac but ß –HCG titter raised, then she undergone D&C and cervical artery ligation to prevent vaginal bleeding was done. Dilatation and curettage successfully had done and ß-HCG decrease to 12800.

Ectopic Pregnancy-Cervical Pregnancy-Dilatation, Curettage

[01] Pereira N, Grias I, Foster SE, Della Badia CR. Acute hemorrhage related to a residual cervical pregnancy: management with curettage, tamponade, and cerclage.J Minim Invasive Gynecol. 2013;20(6):907-11. [02] A Pantelis, ADaniilidis, and K Dinas. Conservative treatment of a 7 week cervical ectopic pregnancy after intra-uterine insemination. Hippokratia. 2013; 17(1): 95. [03] F Gary Cunningham, Kenneth J Leveno, Steven L Bloom, John C Hauth, Dwight J Rouse, Catherine Y Spong. Ectopic pregnancy. Williams Obstetrics (23rd edition). McGraw Hill. 2010;251. [04] Chaudhary V, Sachdeva P, Kumar D, Arora R, Banavaliker J, Khan M. Conservative management of cervical pregnancy: a report of two cases.JReprod Med. 2013;58(9-10):451-7. [05] Secen E I, Keskin H L,Avsar A F. CERVICAL ECTOPIC PREGNANCY: THREE CASE REPORTS. J Turk SocObstet Gynecol. 2012; 9(2): 124- 7. [06] Kochi K, Hidaka T, Yasoshima K, Yoneda K, Arai K, Arai T. Cervical pregnancy: A report of four cases. JObstet Gynaecol Res. 2013 Oct 10. doi: 10.1111/jog.12185. [07] Saha E, Paul AK. Cervical ectopic pregnancy mimicking missed abortion. Bang Med J (Khulna) 2011; 44: 28-30. [08] Havaldar NA, Naik K, Krishna LG. "A rare case of cervical ectopic pregnancy treated successfully with single-dose methotrexate". Saudi J Health Sci 2012; 1:156-8. [09] Weibel HS, Alserri A, Reinhold C, Tulandi T. Multidose Methotrexate Treatment of Cervical Pregnancy. J Obstet Gynaecol Can 2012; 34(4):359–362. [10] Farabow WS, Fulton JW, Fletcher V Jr, Velat CA, White JT. Cervical pregnancy treated with methotrexate. N C Med J. 1983;44:91–93. [11] Zakaria MA, Abdallah ME, Shavell VI, BermanJM, Diamond MP, Kmak VC. Conservative management of cervical ectopic pregnancy: utility of uterine artery embolization. Fertility and Sterility.2011; 95(3): 872-876. [12] Joelle T, Tamer Y; Munire A. Successful conservative management of cervical ectopic pregnancy: a case series. Archives of Gynecology&Obstetrics.2011; 283(6):1215. [13] Shan N, Dong D, Deng W, Fu Y.Unusual ectopic pregnancies: A retrospective analysis of 65 cases. JObstet Gynaecol Res. 2013 [14] Mohebbi MR, Rosenkrans KA, Luebbert EE, HuntTT, JungMJ. Ectopic Pregnancy in the Cervix: A Case Report. Case Reports in Medicine .2011. Article ID 858241, 2 pages. [15] Anupreet D, Michael I, Kathryn F. Cervical Ectopic Pregnancy: A case report. Internet Journal of Gynecology&Obstetric.2009; 11(1):7. [16] Ashouri M, Mousavi A, Najmi Z, Marashi M. A Case of Cervical Pregnancy Following Uterine Curettage: the Most Advanced in Iranian Population. 2011. [17] Bartosch C, Brandão O, Montenegro N." Cervical ectopic pregnancy: hysterectomy specimen examination clarifies the cause of first trimester pregnancy bleeding", FertilSteril. 2011; 95(3):1091-3. [18] Shavell VI, Abdallah ME, Zakaria MA, BermanJM, Diamond MP, Puscheck EE. Misdiagnosis of cervical ectopic pregnancy. Archives of Gynecology and Obstetrics February 2012; 285( 2):423-426. [19] Youssef M A F M. Cervical Twin Ectopic Pregnancy After In Vitro Fertilization-Embryo Transfer (IVF-ET): Case Report. Gynecological endocrinology. 2011. [20] Bianchi P, Salvatori MM, Torcia F, Cozza G, Mossa B. Cervical pregnancy. FertilSteril. 201; 95(6):2123.