Anwar Hammad and Sami Smerat*
Background: Cervical Pregnancy (CP) is a rare and potentially life-threatening form of ectopic pregnancy where implantation occurs within the cervical canal. It accounts for less than 1% of all ectopic pregnancies and carries a high risk of severe hemorrhage and hysterectomy. Assisted Reproductive Technologies (ART), including In Vitro fertilization (IVF), are recognized risk factors for CP. Early diagnosis and appropriate management are critical to minimizing complications and preserving fertility.
Case Presentation: We report the case of a 35-year-old woman (G4P1A2) with a history of cesarean section and two previous Dilatations and Curettage (D&C) procedures. The patient conceived through IVF with the transfer of two embryos. Follow-up ultrasound revealed a non-viable intrauterine gestational sac and a viable cervical pregnancy with positive fetal heart. After counseling, elective termination was planned. The patient underwent hysteroscopy and D&C, performed with ultrasound guidance. The procedure was completed successfully with minimal blood loss (40 mL) and no perioperative complications. She was discharged home in stable condition on the same day.
Conclusion: This case highlights the importance of early detection of CP, particularly in patients undergoing ART. It demonstrates that ultrasound-guided hysteroscopy-assisted evacuation can be an effective and fertility-preserving treatment. Conservative management tailored to individual patient factors can reduce morbidity and avoid the need for radical interventions such as hysterectomy. Keywords: Cervical pregnancy; Ectopic pregnancy; In vitro fertilization, Hysteroscopy, Dilation and curettage, Fertility preservation
Published Date: 2025-08-24; Received Date: 2025-07-23
