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  • Title: Cervical ectopic pregnancy on the portio: conservative case management and clinical review.
    Author: Kraemer B, Abele H, Hahn M, Wallwiener D, Rajab TK, Hornung R.
    Journal: Fertil Steril; 2008 Nov; 90(5):2011.e1-4. PubMed ID: 18710714.
    Abstract:
    OBJECTIVE: To present a case and management of an early ectopic pregnancy on the portio. DESIGN: Case study and literature review. SETTING: Hospital outpatient clinic. PATIENT(S): A 38-year-old woman who presented in the outpatient clinic with a 2-week history of painless acyclic vaginal bleeding. INTERVENTION(S): Excision of the ectopic pregnancy under local anesthesia after clinical examination, urine pregnancy test, and serum ss-hCG measurement. MAIN OUTCOME MEASURE(S): Conservative treatment options and preservation of patient's reproductive capacity. RESULT(S): Serum ss-hCG was raised. Complete excision of the ectopic lesion was performed without the need for administration of chemotherapeutic agents and curettage. Histology revealed fragments of the cervical wall with a layer of chorionic giant cells and one intact chorionic villi. CONCLUSION(S): Cervical pregnancy is a rare form of ectopic pregnancy. It can be associated with high morbidity and adverse consequences for future fertility, but spontaneous abortion is also possible. We present a case and successful management of an early ectopic pregnancy on the surface of the portio.
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