Abstract
Cervical pregnancy is defined as the implantation of the egg below of the internal cervical orifice, and remains a rare clinical entity which affects on average 1 out of 20,000 pregnancies worldwide. Its hemorrhagic complications are life-threatening in case of late diagnosis. It occurs mainly on a history of curettage or caesarian which are the most recognized risk factors. The objective pursued here is to discuss the possibility of the occurrence of this rare clinical entity in a primigravida without risk factors and the different therapeutic possibilities according to the technical platforms. Authors report a case of cervical pregnancy at 6 weeks’ gestation occurring in a primigravida without risk factors who consulted at University clinics of Kinshasa (UCK) for a genital hemorrhage chart. The diagnosis was made using ultrasound and treatment provided by curettage followed by the placement of an intra-cervical foley tube for hemostatic purposes. Given its high mortality, the diagnosis must be early even in pregnant women without obvious risk factors. The diversity of therapeutic means gives practitioners a choice depending on the technical platform.
Highlights
Cervical pregnancy, is a rare form of ectopic pregnancy, and is defined as the implantation of the egg below the internal orifice of the cervix [1]
The objective pursued here is to discuss the possibility of the occurrence of this rare clinical entity in a primigravida without risk factors and the different therapeutic possibilities according to the technical platforms
Authors report a case of cervical pregnancy at 6 weeks’ gestation occurring in a primigravida without risk factors who consulted at University clinics of Kinshasa (UCK) for a genital hemorrhage chart
Summary
Cervical pregnancy, is a rare form of ectopic pregnancy, and is defined as the implantation of the egg below the internal orifice of the cervix [1]. It remains a rare clinical entity which affects 0.2% of ectopic pregnancies [2]. We report a case of cervical pregnancy at 6 weeks’ gestation in a primigravida patient without risk factors, diagnosed by ultrasound and managed by curettage and intra cervical bloating using the Foley catheter. The aim is to discuss the possibility of occurrence in primigravidae without risk factors and present the different therapeutic possibilities available in our environments
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