Clin Exp Reprod Med.  2012 Dec;39(4):187-192. 10.5653/cerm.2012.39.4.187.

What is the best treatment of heterotopic cervical pregnancies for a successful pregnancy outcome?

• Kim JW
• Park HM
• Lee WS
• Yoon TK

• KMID: 1882026
• DOI: http://doi.org/10.5653/cerm.2012.39.4.187

Abstract

Heterotopic pregnancy is rare event and the risk is increased with assisted reproductive technology procedures. Heterotopic cervical pregnancy is even more unusual. We report a rare case of heterotopic cervical pregnancy that was managed successfully. A 36-year-old women who conceived by IVF-ICSI was diagnosed with heterotopic cervical pregnancy. She visited the emergency room with vaginal bleeding at 5 weeks of gestation and underwent careful intracervical gestational sac reduction with forceps under abdominal guidance the next day. The postoperative course was uneventful and with regular check-ups, the intrauterine pregnancy (IUP) progressed unremarkably through 41 weeks with delivery of a healthy newborn. We reviewed a total of 37 cases of heterotopic pregnancy that have been reported in the English language literature. There have been many attempts to eliminate the cervical embryo while preserving the IUP, and complete cervical evacuation is important in order to avoid infection, bleeding, and premature birth.

Keyword

Cervical pregnancy; Heterotopic pregnancy; Selective fetal reduction

MeSH Terms

Embryonic Structures
Emergencies
Female
Gestational Sac
Hemorrhage
Humans
Infant, Newborn
Pregnancy
Pregnancy, Heterotopic
Premature Birth
Reproductive Techniques, Assisted
Surgical Instruments
Uterine Hemorrhage