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Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo

Print version ISSN 2225-5109On-line version ISSN 2227-4731


ATAMARI-ANAHUI, Noé et al. Cervical ectopic pregnancy. Report of two cases. Rev. Cuerpo Med. HNAAA [online]. 2020, vol.13, n.3, pp.315-318.  Epub Sep 30, 2020. ISSN 2225-5109.


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.


The treatment of cervical ectopic pregnancy is controversial. The most appropriate therapy should be chosen to preserve fertility and avoid complications such as bleeding.

Keywords : cervical pregnancy; ectopic pregnancy; chemotherapy; methotrexate; Peru.

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