The diagnosis and treatment of non-tubal or unusual pregnancy implantation presents diagnostic and therapeutic dilemmas. Cervical pregnancies (CPs) are especially dangerous due to associated life-threatening haemorrhage and associated massive blood transfusions and emergency hysterectomy. Haemostasis is the main aim of the therapy to prevent hysterectomy. Overall conservative management of an asymptomatic CP using systemic or local medical treatment seems superior to the surgical intervention. Exclusive operative methods tend to lead to a high failure rate due to severe haemorrhage. The optimum therapeutic option for symptomatic CP is still unclear. We report a case of delayed diagnosis of advanced CP, where a combination of medical, surgical and mechanical treatment was adopted and hysterectomy was avoided thereby preserving fertility. This article presents updates on the aetiology, diagnosis and management of patients with cervical ectopic pregnancy.
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