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Revista Peruana de Ginecología y Obstetricia

On-line version ISSN 2304-5132


RAMIREZ, Juan et al. Heterotopic cervical pregnancy: case report. Rev. peru. ginecol. obstet. [online]. 2015, vol.61, n.3, pp.301-306. ISSN 2304-5132.

Heterotopic pregnancy is of very rare presentation, usually with tubal location and exceptionally cervical, constituting a challenge for the obstetricia n and gynecologist. A nulliparous 45 year-old patient presented a heterotopic cervical pregnancy. She had been subjerted 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.

Keywords : Ectopic pregnancy; heterotopic pregnancy; cervical pregnancy; ultrasound; hysterectomy.

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