Cervical ectopic pregnancies are rare, but they can pose a serious threat to the future fertility of a patient. Previously, the only available mode of treatment was dilatation and curettage, which often led to uncontrolled bleeding and hysterectomy. In the last decade, the treatment of ectopic pregnancy with methotrexate has proven to be an effective therapy and enables the preservation of future fertility. We describe the sonographic features and evolution of an anembryonic cervical pregnancy treated with an intramuscular methotrexate injection.
1. Parente Yr, On CS, Levy J, et al: Cervical pregnancy analysis: a review and report of five cases. Obstet Gynecol. 1983;62:79-82.
2.
2. Stovall TG, Ling FW: Single dose methotrexate: An expanded clinical Trial. Am J Obstet Gynecol. 1993;168: 1759-1765.
3.
3. Yankowitz J, Leake J, Huggins G, et al: Cervical ectopic pregnancy: Review of the literature and report of a case treated by single dose methotrexate therapy. Obstet Gynecol Surv. 1990;45:405-414.
4.
4. Mantalenakis S, Tsalikis T, Grimbizis O, et al: Successful pregnancy after treatment of cervical pregnancy with methotrexate and curettage. J Reprod Med. 1995;40(5): 409-414.
5.
5. Douers DJ, Katz VL, Kuller JA, McCoy MC: Successful treatment of a cervical pregnancy with a single low dose methotrexate regimen. EurJ Obstet Gynecol Reprod Biol. 1995;60(2):J87-J89.
6.
6. Rsu J, Chiu T, Lai I, Soong Y: Methotrexate treatment of cervical pregnancies with different clinical parameters. J Reprod Med. 1995;40(3):246-250.
7.
7. Jurkovic D, Hacket E, Campbell S: Diagnosis and treatment of early cervical pregnancy: a review and a report of two cases treated conservatively. Ultrasound Obstet Gynecol. 1996;8:373-340.
8.
8. Hung T. Chiu T, Hsu J, et al: Sonographic evolution of a living cervical pregnancy treated with intraamniotic instillation of methotrexate. J Ultrasound Med. 1997;16(12): 843-847.
