Background: Cervical pregnancy is a rare form of ectopic pregnancy. Early diagnosis is essential for successful treatment and also to avoid interventions that could lead to severe hemorrhage and hysterectomy. Although methotrexate has been used successfully for stable patients, surgical treatment is necessary in hemodynamically unstable patients. Case: A 20-year-old female presented with with a cervical pregnancy. She underwent a a successfully trachelectomy. Results: This patient's postoperative surgical state was fairly good, and she was discharged from the hospital on the seventh postoperative day. Oral contraceptives were initiated immediately after surgery, and normal menstruation resumed 1 month postsurgery. The patient's uterine shape appeared to be normal 3 months postsurgery. Conclusions: Trachelectomy is a conservative surgical management technique indicated for young patients with unstable cervical pregnancy. (J GYNECOL SURG 31:37)
VelaG, TulandiT. Cervical pregnancy: The importance of early diagnosis and treatment. J Minim Invasive Gynecol, 2007; 14:481.
3.
SinghS. Diagnosis and management of cervical ectopic pregnancy. J Hum Reprod Sci, 2013; 6:273.
4.
ArgyropoulosE, BarnhartK. Medical management of ectopic pregnancy: A comparison of regimens. Clin Obstet Gynecol, 2012; 55:440.
5.
WestabyDT, WuO, DuncanWC, CritchleyHO, TongS, HorneAW. Has increased clinical experience with methotrexate reduced the direct costs of medical management of ectopic pregnancy compared to surgery?. BMC Pregnancy Childbirth, 2012; 12:98.
6.
TestaR, RamirezP, FerreyraH, et al.Abdominal radical trachelectomy: A safe and feasible option for fertility preservation in developing countries. J Low Genit Tract Dis, 2013; 17:378.
7.
Mejia-GomezJ, FeigenberT, AlonS, KoganL, BenshushanA. Radical trachelectomy: A fertility-sparing option for early invasive cervical cancer. Isr Med Assoc J, 2012; 14:324.
8.
SmithJR, BoyleDC, CorlessDJ, et al.Abdominal radical trachelectomy: A new surgical technique for the conservative management of cervical cancer. Br J Obstet Gynaecol, 1997; 104:1196.
9.
RamirezPT, SchmelerKM, SolimanPT, FrumovitzM. Fertility preservation in patients with early cervical cancer: Radical trachelectomy. Gynecol Oncol, 2008; 110(3[suppl2]):S25.
10.
ParejaR, RendonG, MillanC, MonzonO, RamirezP. Surgical, oncological and obsterical outcomes after abdominal radical trachelectomy: A systematic literature review. Gynecol Oncol, 2013; 131:77.
ShepherdJH, MillikenDA. Conservative surgery for carcinoma of the cervix. Clin Oncol (R Coll Radiol), 2008; 20:395.
13.
MillikenDA, SheperdJH. Fertility preserving surgery for carcinoma of the cervix. Curr Opin Oncol, 2008; 20:575.
14.
SpeiceD, Mangler, KohlerC, et al.Fertility outcome after radical vaginal trachelectomy: A prospective studio of 212 patients. Int J Gynecol Cancer, 2011; 21:1635.
15.
NishioH, FujiiT, SugiyamaJ, et al.Reproductive and obstetric outcomes after radical abdominal trachelectomy for early-stage [sic] cervical cancer in a series of 31 pregnancies. Hum Reprod, 2013; 28:1793.
16.
ManglerM, SpeiserD, NguyenBD, et al.Neonatal outcome in infants of patients with radical vaginal trachelectomy. J Perinat Med, 2012; 40:503.
