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Cervical Ectopic
Karen Y. Oh, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Implantation of gestational sac within cervical stroma

              IMAGING

              • General Features

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Chukus A et al: Uncommon implantation sites ectopic pregnancy: thinking beyond the complex adnexal mass. Radiographics. 140202, 2015
                                        2. Samal SK et al: Cervical ectopic pregnancy. J Nat Sci Biol Med. 6(1):257-60, 2015
                                        3. Hosni MM et al: Diagnostic and therapeutic dilemmas of cervical ectopic pregnancy. Obstet Gynecol Surv. 69(5):261-76, 2014
                                        4. Krissi H et al: Outcome, complications and future fertility in women treated with uterine artery embolization and methotrexate for non-tubal ectopic pregnancy. Eur J Obstet Gynecol Reprod Biol. 182:172-6, 2014
                                        5. Chaudhary V et al: Conservative management of cervical pregnancy: a report of two cases. J Reprod Med. 58(9-10):451-7, 2013
                                        6. Hirakawa M et al: Uterine artery embolization along with the administration of methotrexate for cervical ectopic pregnancy: technical and clinical outcomes. AJR Am J Roentgenol. 192(6):1601-7, 2009
                                        7. Shah AA et al: Heterotopic cervical pregnancy treated with transvaginal ultrasound-guided aspiration resulting in cervical site varices within the myometrium. Fertil Steril. 91(3):934, 2009
                                        8. Taşkin S et al: Cervical intramural ectopic pregnancy. Fertil Steril. 92(1):395, 2009
                                        9. Tinelli A et al: Laparoscopic management of cervical-isthmic pregnancy: a proposal method. Fertil Steril. 92(2):829, 2009
                                        10. Verma U et al: Conservative management of cervical ectopic pregnancy. Fertil Steril. 91(3):671-4, 2009
                                        11. Yu B et al: Uterine artery embolization as an adjunctive measure to decrease blood loss prior to evacuating a cervical pregnancy. Arch Gynecol Obstet. 279(5):721-4, 2009
                                        12. Cipullo L et al: Cervical pregnancy: a case series and a review of current clinical practice. Eur J Contracept Reprod Health Care. 13(3):313-9, 2008
                                        13. Corticelli A et al: Conservative management of cervical ectopic pregnancy: case report and review of literature. Clin Exp Obstet Gynecol. 35(4):297-8, 2008
                                        14. Kraemer B et al: Cervical ectopic pregnancy on the portio: conservative case management and clinical review. Fertil Steril. 90(5):2011, 2008
                                        15. Nakao Y et al: Uterine artery embolization followed by dilation and curettage for cervical pregnancy. Obstet Gynecol. 111(2 Pt 2):505-7, 2008
                                        16. Hassiakos D et al: Cervical pregnancy treated with transvaginal ultrasound-guided intra-amniotic instillation of methotrexate. Arch Gynecol Obstet. 271(1):69-72, 2005
                                        17. Mesogitis S et al: Management of early viable cervical pregnancy. BJOG. 112(4):409-11, 2005
                                        18. Doubilet PM et al: Sonographically guided minimally invasive treatment of unusual ectopic pregnancies. J Ultrasound Med. 23(3):359-70, 2004
                                        19. Hidalgo LA et al: Management of cervical pregnancy: risk factors for failed systemic methotrexate. J Perinat Med. 32(2):184-6, 2004
                                        20. Papaloucas CD: "Hour-glass" shape of the uterus in the diagnosis and treatment of cervical pregnancy. Clin Anat. 17(8):658-61, 2004
                                        21. Sherer DM et al: Viable cervical pregnancy managed with systemic Methotrexate, uterine artery embolization, and local tamponade with inflated Foley catheter balloon. Am J Perinatol. 20(5):263-7, 2003
                                        22. Gun M et al: Cervical ectopic pregnancy: a case report and literature review. Ultrasound Obstet Gynecol. 19(3):297-301, 2002
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Definitions

                                                      • Implantation of gestational sac within cervical stroma

                                                    IMAGING

                                                    • General Features

                                                      • Ultrasonographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Chukus A et al: Uncommon implantation sites ectopic pregnancy: thinking beyond the complex adnexal mass. Radiographics. 140202, 2015
                                                                              2. Samal SK et al: Cervical ectopic pregnancy. J Nat Sci Biol Med. 6(1):257-60, 2015
                                                                              3. Hosni MM et al: Diagnostic and therapeutic dilemmas of cervical ectopic pregnancy. Obstet Gynecol Surv. 69(5):261-76, 2014
                                                                              4. Krissi H et al: Outcome, complications and future fertility in women treated with uterine artery embolization and methotrexate for non-tubal ectopic pregnancy. Eur J Obstet Gynecol Reprod Biol. 182:172-6, 2014
                                                                              5. Chaudhary V et al: Conservative management of cervical pregnancy: a report of two cases. J Reprod Med. 58(9-10):451-7, 2013
                                                                              6. Hirakawa M et al: Uterine artery embolization along with the administration of methotrexate for cervical ectopic pregnancy: technical and clinical outcomes. AJR Am J Roentgenol. 192(6):1601-7, 2009
                                                                              7. Shah AA et al: Heterotopic cervical pregnancy treated with transvaginal ultrasound-guided aspiration resulting in cervical site varices within the myometrium. Fertil Steril. 91(3):934, 2009
                                                                              8. Taşkin S et al: Cervical intramural ectopic pregnancy. Fertil Steril. 92(1):395, 2009
                                                                              9. Tinelli A et al: Laparoscopic management of cervical-isthmic pregnancy: a proposal method. Fertil Steril. 92(2):829, 2009
                                                                              10. Verma U et al: Conservative management of cervical ectopic pregnancy. Fertil Steril. 91(3):671-4, 2009
                                                                              11. Yu B et al: Uterine artery embolization as an adjunctive measure to decrease blood loss prior to evacuating a cervical pregnancy. Arch Gynecol Obstet. 279(5):721-4, 2009
                                                                              12. Cipullo L et al: Cervical pregnancy: a case series and a review of current clinical practice. Eur J Contracept Reprod Health Care. 13(3):313-9, 2008
                                                                              13. Corticelli A et al: Conservative management of cervical ectopic pregnancy: case report and review of literature. Clin Exp Obstet Gynecol. 35(4):297-8, 2008
                                                                              14. Kraemer B et al: Cervical ectopic pregnancy on the portio: conservative case management and clinical review. Fertil Steril. 90(5):2011, 2008
                                                                              15. Nakao Y et al: Uterine artery embolization followed by dilation and curettage for cervical pregnancy. Obstet Gynecol. 111(2 Pt 2):505-7, 2008
                                                                              16. Hassiakos D et al: Cervical pregnancy treated with transvaginal ultrasound-guided intra-amniotic instillation of methotrexate. Arch Gynecol Obstet. 271(1):69-72, 2005
                                                                              17. Mesogitis S et al: Management of early viable cervical pregnancy. BJOG. 112(4):409-11, 2005
                                                                              18. Doubilet PM et al: Sonographically guided minimally invasive treatment of unusual ectopic pregnancies. J Ultrasound Med. 23(3):359-70, 2004
                                                                              19. Hidalgo LA et al: Management of cervical pregnancy: risk factors for failed systemic methotrexate. J Perinat Med. 32(2):184-6, 2004
                                                                              20. Papaloucas CD: "Hour-glass" shape of the uterus in the diagnosis and treatment of cervical pregnancy. Clin Anat. 17(8):658-61, 2004
                                                                              21. Sherer DM et al: Viable cervical pregnancy managed with systemic Methotrexate, uterine artery embolization, and local tamponade with inflated Foley catheter balloon. Am J Perinatol. 20(5):263-7, 2003
                                                                              22. Gun M et al: Cervical ectopic pregnancy: a case report and literature review. Ultrasound Obstet Gynecol. 19(3):297-301, 2002