1st Department of Obstetrics and Gynecology, General Hospital of Athens 'ALEXANDRA', National and Kapodistrian University of Athens, Lourou and Vasilissis Sofias Ave., 11528 Athens, Greece.
1st Department of Surgery, Laikon General Hospital, National and Kapodistrian University of Athens, Agiou Thoma Str. 17, 11527 Athens, Greece.
Medicina (Kaunas). 2021 Sep 15;57(9):969. doi: 10.3390/medicina57090969.
: Ectopic pregnancy is the leading cause of gestation-related deaths during the first trimester. Cervical twin heterotopic pregnancies, when ectopic, constitute a small and rare part of gynecological surgery. : A 30-year-old pregnant woman (gravida 3, para 2) presented with mild pain in the lower abdomen and traces of bleeding per vaginum for three days. Transvaginal ultrasonography revealed a balloon-shaped cervical canal with a visible gestational sac measuring 3.5 × 3.9 cm. A second gestational sac was seen in the uterine cavity. The measurements of the gestational sacs corresponded to 7 + 4 weeks' pregnancy. A decision for medical abortion with mifepristone and misoprostol was made. However, due to an incomplete abortion and continuous bleeding, a curettage was performed. : Spontaneous heterotopic pregnancy with the ectopic pregnancy located in the cervix is an extremely rare clinical condition requiring urgent treatment in order to reduce maternal mortality and morbidity and preserve fertility.
异位妊娠是妊娠早期导致孕产妇死亡的主要原因。宫颈双胎异位妊娠是妇科手术中罕见的小部分病例。
一名 30 岁孕妇（孕 3 产 2）下腹轻度疼痛，阴道少量出血 3 天。经阴道超声检查显示宫颈管呈球形，可见大小约 3.5×3.9cm 的孕囊。宫腔内可见另一个孕囊。孕囊大小符合 7+4 周妊娠。决定采用米非司酮和米索前列醇进行药物流产。但由于流产不全且持续出血，进行了刮宫术。
宫颈妊娠的自发性异位妊娠是一种极其罕见的临床情况，需要紧急治疗，以降低孕产妇的死亡率和发病率并保留生育能力。
