Heterotopic cervical pregnancy: case report

• Autores: Ramírez, Juan, Pimentel, J., Cabrera, Santiago, Campos, G., Zapata, B.
• Formato: artículo
• Fecha de Publicación: 2015
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista SPOG - Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español
• OAI Identifier: oai:ojs.spog:article/1860
• Enlace del recurso: http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/1860
• Nivel de acceso: acceso abierto

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.