Archives of Gynecology and Obstetrics

, Volume 241, Issue 1, pp 63–69 | Cite as

Cervical pregnancy: Case reports and current concepts in diagnosis and treatment

  • H. M. H. Hofmann
  • W. Urdl
  • H. Höfler
  • W. Hönigl
  • K. Tamussino
Case Reports

Summary

Cervical pregnancy produces profuse but painless vaginal bleeding. After ultrasound diagnosis early in pregnancy, preservation of the uterus is possible. After the 12th week, hysterectomy is almost always necessary. We review current concepts in the diagnosis and management of cervical pregnancy.

Key words

Cervical pregnancy Ultrasound 

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References

  1. Aguilar RE (1976) Ninety cases of internal iliac artery ligation. Gynecol Obstet Mexico 40: 445–449Google Scholar
  2. Anton W, Stanulla H (1979) Zur Klinik und Pathogenese der zervikalen Gravidität. Zentralbl Gynaekol 101: 167–174Google Scholar
  3. Antonescu J (1967) Konservative Behandlung eines Falles von Zervixschwangerschaft durch Excision aus dem Collum uteri. Zentralbl Gynaekol 89: 886Google Scholar
  4. Bernaschek G, Spernol R, Scholler A (1981) Ausgetragene Zervikalgravidität-Fallbericht und Literaturübersicht. Zentralbl Gynaekol 103: 520–524Google Scholar
  5. Bernaschek G, Kratochwil A (1981) Die Ultraschalldiagnose der Zervikalgravidität. Gebuitshilfe Frauenheilkd 41: 509–511Google Scholar
  6. Bernstein D, Holzinger M, Oradia J, Frishman B (1981) Conservative treatment of cervical pregnancy. Obstet Gynecol 58: 741–742Google Scholar
  7. Bieler A (1962) Zervikale Gravidität. Zentralbl Gvnaekol 84: 1762–1766Google Scholar
  8. Burg E (1958) Über die zervikale Schwangerschaft. Zentralbl Gynaekol 80: 852–854Google Scholar
  9. Burstein HA (1954) Cervical pregnancy. Am J Obstet Gynecol 68: 940–943Google Scholar
  10. Connor E (1979) Citation according to LeCocq F. Discussion of iliac artery ligation in cervical pregnancy. Am J Obstet Gynecol 134: 149–150Google Scholar
  11. David MP, Bergman A, Delighdish L (1980) Cervico-isthmic pregnancy carried to term. Obstet Gynecol 56: 247–252Google Scholar
  12. Dees HC (1966) Cervical pregnancy associated with uterine leiomyomas. South Med J 59: 900–902Google Scholar
  13. Frankenberg HW (1983) Die fortgeschrittene Zervixschwangerschaft. Zentralbl Gynaekol 105: 460–463Google Scholar
  14. Farabo WS, Fulton JW, Fletscher V, Veld CA, White JT (1983) Cervical pregnancy treated with methotrexate. NC Med J 44: 91–93Google Scholar
  15. Giorgio B, Ball KG, Ogden S, Verco PW, Finikidis G (1980) Cervical ectopic pregnancy. Case report. Aust NZ J Obstet Gyneaecol 20: 164–167Google Scholar
  16. Gitstein S, Ballas S, Schujmann E, Peyser MR, Toaf R (1979) Early cervical pregnancy: ultrasonic diagnosis and conservative treatment. Obstet Gynecol 54: 758–762Google Scholar
  17. Goldrath MH (1983) Uterine tamponade for the control of acute uterine bleeding. Am J Obstet Gynecol 147: 869–872Google Scholar
  18. Home E (1817) On the passage of the ovum from the ovatium to the uterus in women. Philos Trans R Soc Lond 107: 252–256Google Scholar
  19. Kalakoutis GM, Gilford RJ (1985) Cervical Pregnancy ending in a live vaginal birth. Eur J Obstet Gynecol Reprod Biol 20: 319–323Google Scholar
  20. Kate-Booij MJ, Wallenburg HCS (1984) Conservative treatment of postpartum hemorrhage in a second trimester cervical pregnancy. Am J Obstet Gynecol 150: 103–104Google Scholar
  21. Kim DS, Kang KC (1983) Successful pregnancy after transabdominal evacuation of cervical pregnancy. Obstet Gynecol 62: 522Google Scholar
  22. Kiss J (1965) Über die zervikale Schwangerschaft. Zentralbl Gynaekol 84: 1762–1766Google Scholar
  23. Kobayashi M, Hellman LM, Fillisti LP (1969) Ultrasound: an aid in the diagnosis of ectopic pregnancy. Am J Obstet Gynecol 103: 1131–1140Google Scholar
  24. Kretzschmar WA, Stoddard FJ (1961) Cervical pregnancy: report of a case. Obstet Gynecol 18: 368–370Google Scholar
  25. Kuppuswami N, Vindekide J, Sethi CM, Seshardi M, Freese UE (1981) Diagnosis and treatment of cervical pregnancy. Obstet Gynecol 61: 651–653Google Scholar
  26. Laughlin CL, Lee TG, Richards RC (1983) Ultrasonographic diagnosis of cervical ectopic pregnancy. J Ultrasound Med 2: 137–138Google Scholar
  27. Mengert WF, Burchell RC (1969) Pregnancy after bilateral ligation of the internal iliac and ovarian arteries. Obstet Gynecol 34: 664–666Google Scholar
  28. Morton DG (1949) Cervical pregnancy: a report of two cases and a discussion of the treatment. Am J Obstet Gynecol 57: 910–917Google Scholar
  29. Nelson RM (1979) Bilateral internal iliac artery ligation in cervical pregnancy: conservation of reproductive function. Am J Obstet Gynecol 134: 145–149Google Scholar
  30. Paalman RJ, McElin TW (1959) Cervical pregnancy. Am J Obstet Gynecol 77: 1261–1270Google Scholar
  31. Parente JT, Ou C, Levy J, Legatt E (1983) Cervical pregnancy analysis: a review and report of five cases. Obstet Gynecol 62: 79–82Google Scholar
  32. Patchell RD (1984) Cervical pregnancy managed by balloon tamponade. Am J Obstet Gynecol 149: 107Google Scholar
  33. Pisarski TS (1960) Cervical pregnancy. J Obstet Gynaecol Br Commw 67: 759–762Google Scholar
  34. Rabbon WJ, Abbott WE, Smole GE (1962) Cervical pregnancy: report of two cases. Obstet Gynecol 19: 365–367Google Scholar
  35. Raskin MM (1978) Diagnosis of cervical pregnancy by ultrasound; a case report. Am J Obstet Gynecol 130: 234–235Google Scholar
  36. Ratten GJ (1983) Cervical pregnancy treated by ligation of the descending branch of the uterine arteries. Case report. Br J Obstet Gynecol 90: 367–371Google Scholar
  37. Reginald PW, Reid JE, Paintin DB (1985) Control of blecding in cervical pregnancy: two case reports. Br J Obstet Gynecol 92: 1199–1200Google Scholar
  38. Rokitansky C (1860) Ein Beitrag zur Lehre vom Abortus und vom fibrösen Uteruspolypen. Z Gesellsch Aerztl Wien 3: 513–515Google Scholar
  39. Rubin IC (1911) Cervical pregnancy. Surg Gynecol Obstet 13: 625–633Google Scholar
  40. Sheldon RS, Aato LA, Welch JS (1963) Conservative management of cervical pregnancy. Am J Obstet Gynecol 87: 504–506Google Scholar
  41. Shingawa S, Nagayama M (1969) Cervical pregnancy as a possible sequela of induced abortion. Am J Obstet Gynecol 54: 758–762Google Scholar
  42. Studdiford WE (1945) Cervical pregnancy: a partial review of the literature and a report of two probable cases. Am J Obstet Gynecol 49: 169–177Google Scholar
  43. Tibáld M, Györey P, Nemes J, Plank G (1973) Ausgetragene Zervikalgravidität. Geburtshilfe Frauenheilkd 33: 688–690Google Scholar
  44. Vas W, Suresch PL, Tang-Barton P, Salimi Z, Carlin B (1984) Ultrasonographic differentiation of cervical abortion from cervical pregnancy. J Clin Ultrasound 12: 553–557Google Scholar
  45. Werber J, Prasadarao PR, Harris VJ (1983) Cervical pregnancy diagnosed by ultrasound. Radiology 149: 279–280Google Scholar
  46. Whittle MJ (1976) Cervical pregnancy managed by local excision. Br Med J 3: 795–796Google Scholar
  47. Woodford SJ, Diggory PL, Edelman PJ (1978) Management of cervical pregnancy with circumsuture and intracervical obturator. Br Med J 1: 825Google Scholar
  48. Zarabi M, Bulkiewicz BL, Mazer J (1983) Diagnosis of cervical pregnancy by ultrasonography. J Ultrasound Med 2: 333–335Google Scholar

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • H. M. H. Hofmann
    • 1
  • W. Urdl
    • 1
  • H. Höfler
    • 2
  • W. Hönigl
    • 1
  • K. Tamussino
    • 1
  1. 1.Department of Obstetrics and GynecologyUniversity of GrazGrazAustria
  2. 2.Department of PathologyUniversity of GrazAustria

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