Heterotopic pregnancy is of very rare presentation, usually with tubal location and exceptionally cervical, constituting a challenge for the obstetrician and gynecologist. A nulliparous 45 year-old patient presented a heterotopic cervical pregnancy. She had been subjected to assisted reproductive techniques. Clinically, there was only scarce vaginal bleeding. Ultrasound at 9 weeks of gestation showed double gestational sac, one located in the endocervix, and both fetuses alive. Treatment options were curettage and placement of intra-cervical balloon, embryo-reduction with potassium chloride, and hysterectomy; the patient decided a single elective hysterectomy. Pathology confirmed the diagnosis.