CERVICAL ECTOPIC PREGNANCY WITH MASSIVE BLEEDING: A CASE REPORT

June 6, 2015
Written by Tomov S., Gortchev G., Tantchev L., et al.
Published in Gynecology
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Slavcho Tomov¹, Grigor Gortchev¹, Lachezar Tantchev¹, Margarita Nikolova², Savelina Popovska²

1) Department of Obstetrics and Gynecology, Gynecologic Oncology Clinic, Medical University, Pleven, Bulgaria.

2) Department of General and Clinical Pathology, Medical University, Pleven, Bulgaria.

Disclosure: The author has declared no conflicts of interest.

Received: 03.05.15 Accepted: 13.05.15

doi: 10.5455/ijsm.20150511101303

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Abstract:

A 29-year-old patient with cervical ectopic pregnancy (CEP) presented as "suspected" cervical mass, and irregular vaginal bleeding was directed to a gynecologic oncologist for consultation. During the examination a massive bleeding occurred. After an unsuccessful attempt to stop the bleeding with a balloon catheter and vaginal tamponade, a total abdominal hysterectomy was performed. The predisposing factors, the differential diagnostic possibilities and the clinical approaches in CEP are discussed. Total abdominal hysterectomy is the procedure of choice for treatment of cervical pregnancy under conditions of urgency and life-threatening bleeding.

Keywords: cervical ectopic pregnancy, massive bleeding, hysterectomy

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Tomov, S., Gortchev, G., Tantchev, L., Nikolova, M. and Popovska, S. (2015) ‘Cervical Ectopic pregnancy with massive bleeding: A case report’, International Journal of Surgery and Medicine, 1(1), pp. 22–25. doi: 10.5455/ijsm.20150511101303.