Heterotopic cervical pregnancy

Heterotopic pregnancy is a rare event (I in 10,000-50,000) and the risk increased with assisted reproductive technology procedures (70- fold increased risk) . Heterotopic cervical pregnancy is even more unusual . We present a rare case of heterotopic cervical pregnancy that was managed successfully with preserving the IUP. Up to the present, a total 37 cases of heterotopic cervical pregnancy have been reported in the English language literature.

The lady conceived by IVF-ICSI was diagnosed with heterotopic cervical pregnancy In her 1^st pregnancy U/S. 2 days later She visited the emergency room with vaginal bleeding at 5 weeks +6 days gestational age, transvaginal U/S confirmed the diagnosis of heterotopic cervical pregnancy with both viable fetuses lady is hemodynamically stable with mild vaginal bleeding.

Material and Methods

She was extensively counselled regarding her options of termination versus conservative management and opted for what was deemed the most intrauterine pregnancy–conserving approach. u/s shows two gestational sacs, one intrauterine and the other is cervially located. showed amplified view for cervical gestational sac embedded in the endocervical canal.