Kumar Namrata, Agrawal Smriti, Das Vinita, Agrawal Anjoo
Assistant Professor, Department of Obstetrics and Gynaecology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Associate Professor, Department of Obstetrics and Gynaecology, King George's Medical University, Lucknow, Uttar Pradesh, India.
J Clin Diagn Res. 2017 Mar;11(3):QD04-QD05. doi: 10.7860/JCDR/2017/25052.9468. Epub 2017 Mar 1.
Cervical pregnancy is a rare site of ectopic pregnancy compared to tubal. The trophoblast implant into the cervical tissue and become a potentially dangerous site of torrential haemorrhage. The widespread use of Ultrasonography (USG) has led to a dramatic increase in the detection rates of extra uterine pregnancy. We hereby report an interesting case of extra uterine pregnancy with a unique situation where only a high index of suspicion prevented an iatrogenic mishap. The patient was referred as a case of incomplete abortion with a documented report of minimal retained products. Because of a high index of suspicion a serum beta Human chorionic gonadotropin (hCG) was sent prior to deciding for discharge. This indeed turned as a major change in the diagnosis of the case as the serum beta hCG was elevated. On re-evaluation, we diagnosed it as a case of cervical pregnancy which was successfully managed medically.
与输卵管妊娠相比，宫颈妊娠是一种罕见的异位妊娠部位。滋养层植入宫颈组织，成为一个可能发生大出血的危险部位。超声检查（USG）的广泛应用导致宫外妊娠的检出率显著提高。我们在此报告一例有趣的宫外妊娠病例，其情况独特，仅因高度怀疑才避免了一次医源性事故。该患者被转诊为不全流产病例，有记录显示残留产物极少。由于高度怀疑，在决定出院前送检了血清β-人绒毛膜促性腺激素（hCG）。结果这确实成为了该病例诊断的一个重大转变，因为血清β-hCG升高了。经重新评估，我们将其诊断为宫颈妊娠，并通过药物治疗成功处理。
