A case of unusual cervical pregnancy.

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We recently treated a patient with unusual cervical pregnancy. A 38-year-old woman, gravida 3, para 3, was admitted to our hospital for artificial abortion at 8 weeks of gestation. She had had abnormal genital bleeding without abdominal pain, and pelvic examination demonstrated a goose-egg-sized uterus with an enlarged and soft cervix. Sonographic findings included an intact gestational sac (GS) with fetal echo and a beating heart ; and thus corresponded to those of an eight-week fetus. However, the GS was partially present in the endocervix. Dilatation and curettage was performed under intravenous anesthesia, but was associated with the immediate occurrence of heavy uterine bleeding (total amount, 700ml). An emergency laparotomy with simple total hysterectomy was performed. The wall of the uterine cervix was found to be thin on gross examination, and chorionic trophoblast was present in the cervical portion. [Adv Obstet Gynecol 45 (5); 607-610, 1993 (H5. 9)]
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