Received: 06.04.2021 | Accepted: 12.05.2021 | Published: 14.05.2021

Cervical ectopic pregnancy is a rare form of ectopic pregnancy with implantation of fertilized ovum in the cervical canal below the internal os. Incidence of cervical pregnancy varies 1:1000-95000 and associated with high maternal morbidity and mortality due to high chances of pregnancy being misdiagnosed. To reduce maternal mortality, it is indeed necessary to understand the importance of correct diagnosis by clinical or radiological or biochemical methods available. Here we present a case of a 36-year-old female reported to us in Noble hospital as a misdiagnosed case of cervical ectopic pregnancy with catastrophic bleeding. Management of the cervical ectopic pregnancy is dependent on several factors such as the patient's gestational age, fetal cardiac activity, stability of the patient, patient's interest in retaining future fertility, and the availability of resources and expertise of the practicing gynaecologist. The cervical ectopic pregnancies though rare, do occur, and their incidence is increasing. A high index of suspicion, clinical and radiological correlation, especially in cases with previous uterine scars can pick up this rare entity preoperatively. If diagnosed early conservative management can be offered. However, missed diagnosis can lead to high morbidity and mortality. Keywords: Cervical ectopic pregnancy, Maternal Mortality, catastrophic bleeding, uterine scar

DOI: 10.36348/sijog.2021.v04i05.006 | Received: 13.04.2021 | Accepted: 22.05.2021 | Published: 23.05.2021

Transvaginal sonogram is a simple, non-
invasive convenient way to indirectly visualize the

endometrium & endometrial cavity. The vaginal probe
examination if incorporated into the gynecology office
setting and when combined with bimanual pelvic
examination can enhance our anatomic diagnosis.
Transvaginal sonography is useful as a first step
diagnostic procedure in the evaluation of
perimenopausal bleeding. When combined with
dilatation and curettage it can supplement the
shortcomings of dilatation and curettage. This study
proves that this diagnostic tool correlates well with the
histopathology findings. Intrauterine pathology of the
endometrium and myometrium were well delineated
and endometrial carcinoma detected with precision. In
the future it appears that ultrasonography will continue
to take the role of a stethoscope for the gynecologist. To
be able to see the lining of the uterine cavity and the
information obtained seems worthwhile.

Volume - 10 | Issue - 06 | June - 2021 | PRINT ISSN No. 2277 - 8179 | DOI : 10.36106/ijsr

Transvaginal sonogram is a simple, non-invasive convenient way to
indirectly visualize the endometrium & endometrial cavity. The
vaginal probe examination if incorporated into the gynecology ofce
setting and when combined with bimanual pelvic examination can
enhance our anatomic diagnosis. Transvaginal sonography is useful as
a rst step diagnostic procedure in the evaluation of perimenopausal
bleeding. When combined with dilatation and curettage it can
supplement the shortcomings of dilatation and curettage. This study
proves that this diagnostic tool correlates well with the histopathology
ndings. Intrauterine pathology of the endometrium and myometrium
were well delineated and endometrial carcinoma detected with
precision. In the future it appears that ultrasonography will continue to
take the role of a stethoscope for the gynecologist. To be able to see the
lining of the uterine cavity and the information obtained seems
worthwhile.