Cervical Pregnancy in a Primigravida Patient without Risk Factors: A Case Report ()
Affiliation(s)
1Obstetrics Service, Department of Gynecology and Obstetrics, University Clinics of Kinshasa, Lemba/Kinshasa XI/DRC, Unikin, Congo.
2Gynecology Service, Department of Gynecology and Obstetrics, University Clinics of Kinshasa, Kinshasa XI, Unikin, Congo.
ABSTRACT
Cervical pregnancy is
defined as the implantation of the egg below of the internal cervical orifice,
and remains a rare clinical entity which affects on average 1 out of 20,000 pregnancies
worldwide. Its hemorrhagic
complications are life-threatening in case of late diagnosis. It occurs mainly
on a history of curettage or caesarian which are the most recognized risk
factors. The objective pursued
here is to discuss the possibility of the occurrence of this rare clinical
entity in a primigravida without risk factors and the different therapeutic
possibilities according to the technical platforms. Authors report a case of cervical pregnancy at 6
weeks’ gestation occurring in
a primigravida without risk factors who consulted at University clinics of
Kinshasa (UCK) for a genital hemorrhage chart. The diagnosis was made using
ultrasound and treatment provided by curettage followed by the placement of an
intra-cervical foley tube for hemostatic purposes. Given its high mortality, the diagnosis must be
early even in pregnant women without obvious risk factors. The diversity of
therapeutic means gives practitioners a choice depending on the technical
platform.
Share and Cite:
Amani, D. , Ilunga-Mbaya, E. , Iyawa, F. and Nsiangangu, B. (2020) Cervical Pregnancy in a Primigravida Patient without Risk Factors: A Case Report.
Open Journal of Obstetrics and Gynecology,
10, 770-777. doi:
10.4236/ojog.2020.1060071.