Abstract

Objective Cervical ectopic pregnancy is a rare complication that can have severe consequences if an early diagnosis is not made. This diagnosis should always be considered in vaginal bleeding in the first trimester of pregnancy. Method We present a case of cervical ectopic pregnancy diagnosed in the sixth week of gestation. Three doses of methotrexate resolved the situation clinically (expulsion of the gestational sac) and biochemically (decreased β-human chorionic gonadotrophin levels). Conclusion Cervical ectopic pregnancy is a serious and infrequent entity that can be resolved by conservative medical therapy that maintains the patient's fertility and avoids the need to resort to more aggressive treatment.

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