Cervical ectopic pregnancies are a rare but potentially life threatening complication of pregnancy. Several different treatment modalities for cervical ectopic pregnancies have been documented in the literature. In this case a 38-year-old gravid 1 para 0 presented with a cervical ectopic pregnancy diagnosed at an outside hospital. Medical management was undertaken with potassium chloride and methotrexate. The patient developed symptomatic vaginal bleeding requiring surgical management via dilation and curettage. Medical management can be attempted for cervical ectopic pregnancies, provided that a physician with the ability to perform surgical intervention is readily available. Additionally, in the case of viable cervical pregnancies, attempted medical management can result in decreased blood loss should surgical intervention be required.

Authors: Stephen Wagner, Timothy Deimling, Jaimie Maines

Key Words: Cervical ectopic, methotrexate, potassium chloride