This month’s VISUOG chapter focuses on cervical ectopic pregnancy. Cervical pregnancy is an uncommon form of ectopic pregnancy where the pregnancy implants into the myometrium below the level of the internal os. It accounts for less than 1% of all ectopic pregnancies, occurring in approximately 1 in 9000 pregnancies.
Ultrasound is the primary diagnostic modality, while magnetic resonance imaging can be used as a second-line investigation if the diagnosis is unclear.
The major risk factors include in vitro fertilisation, endometrial injury caused by pelvic inflammatory disease or postsurgical trauma such as Cesarean section or uterine curettage, history of abortions, intrauterine contraceptive device use, intrauterine adhesions, myomas, and structural uterine anomalies.
Early diagnosis and treatment are the key to a successful outcome. However, accurately diagnosing cervical pregnancy remains a challenge because it is often misdiagnosed as an ongoing abortion.
Read the chapter for free throughout August to find out more about the diagnosis and differential diagnosis. The main different diagnosis of cervical pregnancy is an ongoing miscarriage with a gestational sac passing through the cervix. The best way to distinguish the two situations is by the sliding sign.
The chapter includes detailed slides providing helpful information on the treatment, prognosis, and management of cervical pregnancy. Traditionally, cervical ectopic pregnancies have been managed surgically due to their anatomical location. However, there has been a significant shift towards more conservative treatment modalities. Discover more about management options, from conservative therapies to surgical procedures, in this chapter.
You can also read the cervical ectopic pregnancy leaflet to help your patients understand what cervical ectopic pregnancy is, how it happens, and what the symptoms are here.
For more detailed information and to see high-quality ultrasound images with annotations, read the VISUOG chapter on cervical ectopic pregnancy for free throughout August.
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