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Cervical Ectopic
Roya Sohaey, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Cervical ectopic pregnancy (CEP)
            • Gestational sac (GS)
            • Internal os (IO)
            • Intrauterine pregnancy (IUP)
          • Definitions

            • Implantation of GS within cervix, inferior to IO
            • CEP is not viable pregnancy and must be treated

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • Gross Pathologic & Surgical Features

                    • Microscopic Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Jensen KK et al: Imaging of acute pelvic pain: pregnant (ectopic and first-trimester viability updated). Radiol Clin North Am. 58(2):347-61, 2020
                                  2. Monteagudo A et al: Minimally invasive treatment of cesarean scar and cervical pregnancies using a cervical ripening double balloon catheter: expanding the clinical series. J Ultrasound Med. 38(3):785-93, 2019
                                  3. Alalade AO et al: Evidence-based management of non-tubal ectopic pregnancies. J Obstet Gynaecol. 37(8):982-91, 2017
                                  4. Dibble EH et al: Imaging unusual pregnancy implantations: rare ectopic pregnancies and more. AJR Am J Roentgenol. 207(6):1380-92, 2016
                                  5. Chukus A et al: Uncommon implantation sites ectopic pregnancy: thinking beyond the complex adnexal mass. Radiographics. 140202, 2015
                                  6. Samal SK et al: Cervical ectopic pregnancy. J Nat Sci Biol Med. 6(1):257-60, 2015
                                  7. Hosni MM et al: Diagnostic and therapeutic dilemmas of cervical ectopic pregnancy. Obstet Gynecol Surv. 69(5):261-76, 2014
                                  8. 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
                                  9. Chaudhary V et al: Conservative management of cervical pregnancy: a report of two cases. J Reprod Med. 58(9-10):451-7, 2013
                                  10. Verma U et al: Conservative management of cervical ectopic pregnancy. Fertil Steril. 91(3):671-4, 2009
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Cervical ectopic pregnancy (CEP)
                                            • Gestational sac (GS)
                                            • Internal os (IO)
                                            • Intrauterine pregnancy (IUP)
                                          • Definitions

                                            • Implantation of GS within cervix, inferior to IO
                                            • CEP is not viable pregnancy and must be treated

                                          IMAGING

                                          • General Features

                                            • Ultrasonographic Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • Gross Pathologic & Surgical Features

                                                    • Microscopic Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              DIAGNOSTIC CHECKLIST

                                                              • Consider

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Jensen KK et al: Imaging of acute pelvic pain: pregnant (ectopic and first-trimester viability updated). Radiol Clin North Am. 58(2):347-61, 2020
                                                                  2. Monteagudo A et al: Minimally invasive treatment of cesarean scar and cervical pregnancies using a cervical ripening double balloon catheter: expanding the clinical series. J Ultrasound Med. 38(3):785-93, 2019
                                                                  3. Alalade AO et al: Evidence-based management of non-tubal ectopic pregnancies. J Obstet Gynaecol. 37(8):982-91, 2017
                                                                  4. Dibble EH et al: Imaging unusual pregnancy implantations: rare ectopic pregnancies and more. AJR Am J Roentgenol. 207(6):1380-92, 2016
                                                                  5. Chukus A et al: Uncommon implantation sites ectopic pregnancy: thinking beyond the complex adnexal mass. Radiographics. 140202, 2015
                                                                  6. Samal SK et al: Cervical ectopic pregnancy. J Nat Sci Biol Med. 6(1):257-60, 2015
                                                                  7. Hosni MM et al: Diagnostic and therapeutic dilemmas of cervical ectopic pregnancy. Obstet Gynecol Surv. 69(5):261-76, 2014
                                                                  8. 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
                                                                  9. Chaudhary V et al: Conservative management of cervical pregnancy: a report of two cases. J Reprod Med. 58(9-10):451-7, 2013
                                                                  10. Verma U et al: Conservative management of cervical ectopic pregnancy. Fertil Steril. 91(3):671-4, 2009