One Case of Viable Cervical Pregnancy in Anterior Lip of the Cervix Treated by Systemic Methotrexate Treatment after Intra-amniotic Potassium Chloride Injection.

Choi, Oh Sung; Kwon, Hyuk Min; Yu, Sun Young; Cho, Yong; Lee, Dong Ook; Lee, Sung Won; Ro, Eu Sun

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(5):1337-1342.
Published online May 1, 2005.

One Case of Viable Cervical Pregnancy in Anterior Lip of the Cervix Treated by Systemic Methotrexate Treatment after Intra-amniotic Potassium Chloride Injection.

Oh Sung Choi, Hyuk Min Kwon, Sun Young Yu, Yong Cho, Dong Ook Lee, Sung Won Lee, Eu Sun Ro

Department of Obstetrics and Gynecology Hallym University Medical School, Chunchon, Korea. ycho@hallym.or.kr

Abstract

The cervical pregnancy is a rare condition representing less than 1% of ectopic gestations. But, it is potentially life-threatening condition because of profuse hemorrhage and requires hysterectomy in some cases. With ultrasound, diagnosis can be made earlier and conservative management is attempted in order to preserve the reproductive potential. Most cervical pregnancies are implanted within the cervical canal below the internal os of the cervix. However, we experienced one case of a unique viable cervical pregnancy in anterior lip of the cervix and treated successfully by local injection of potassium chloride into gestational sac and systemic methotrexate treatment.

Key Words: Cervical pregnancy, Anterior lip of the cervix, Potassium chloride, Methotrexate