Cervical ectopic pregnancy. Report of two cases

• Autores: Atamari-Anahui, Noé, Paucar-Tito, Liz, Ccorahua-Ríos, Maycol Suker, Morales-Concha, Luz, Girón-López, Lindsay Esther
• Formato: artículo
• Fecha de Publicación: 2020
• Institución: Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Repositorio: Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Lenguaje: español
• OAI Identifier: oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/747
• Enlace del recurso: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/747
• Nivel de acceso: acceso abierto
• Materia: embarazo cervical; embarazo ectópico; quimioterapia; metotrexato; Perú; cervical pregnancy; ectopic pregnancy; chemotherapy; methotrexate; Peru

Background. Cervical ectopic pregnancy is the implantation of the embryo in the lining of ​​the endocervical canal lining. It represents less than 1% of all ectopic pregnancies. Case description: We report two patients who come to the emergency room for transvaginal bleeding. The diagnosis of cervical ectopic pregnancy was made by transvaginal ultrasound (7- and 8-weeks' gestation). Treatment was started with methotrexate (28-year-old patient) and methotrexate-folinic acid (35-year-old patient). Due to the increase in human chorionic gonadotropin hormone, it was decided to perform an abdominal hysterectomy (28-year-old patient) and McDonald-type cervical curettage-cerclage (35-year-old patient). There were no complications after surgery in both patients. Conclusions: The treatment of cervical ectopic pregnancy is controversial. The most appropriate therapy should be chosen to preserve fertility and avoid complications such as bleeding.