Intra-cardiac feticide injection for cervical ectopic pregnancy less than 10 weeks of gestation: A case report and review of literature

Abstract

Objective: To report a case of cervical ectopic managed by intra-cardiac injection of potassium chloride to terminate pregnancy. Design: Case Report . Patient: A 24-year-old G2P1+0, presented with vaginal bleeding. Cervical pregnancy (7 weeks+4 days) was diagnosed by transvaginal ultrasound. Intervention: Intra-cardiac injection of (KCL) was done plus intra-amniotic injection of methotrexate under ultrasound guidance. Outcomes: Safe pregnancy termination and uterine preservation. Results: Pregnancy was terminated successfully, without complications or side effects. Conclusion: Intra-cardiac injection of KCL appears to be an effective and safe method in termination of cervical ectopic pregnancy less than 10 weeks. Keywords: Cervical ectopic, Intra-cardiac feticide, Potassium Chloride, Methotrexate.