Cervical Ectopic Pregnancy at 35-Week Gestational Age with Outcome of a Live Foetus and Resultant Caesarean Hysterectomy: A Case Report and Review of the Literature

Abstract Cervical ectopic pregnancy is a rare clinical entity accounting for <1% of all ectopic pregnancies. The major risk factors are a preceding history of uterine curettage or caesarean section. It is associated with high maternal morbidity and mortality due to high chances of pregnancy being misdiagnosed. Here, we present a case of a 37-year-old multiparous woman with one previous caesarean section who had a missed diagnosis of cervical ectopic pregnancy carried till 35-week gestational age and subsequently had caesarean hysterectomy with the outcome of a live foetus. A high index of suspicion, clinical and radiological correlation, especially in cases with previous uterine scars can pick up this rare entity preoperatively. If diagnosed early, conservative management can be offered. However, missed diagnosis can lead to high morbidity and mortality. This case highlights the importance of correct diagnosis to avoid such a catastrophe.