Management of heterotopic cervical pregnancy: a case report and review of the literature

Given the rarity and potentially life-threatening nature of heterotopic cervical pregnancy, the dissemination of clinical experiences is essential to improve diagnostic accuracy and inform management strategies. This case highlights the importance of early recognition and tailored surgical intervention. Ultrasound-guided evacuation with targeted cervical suturing effectively controlled the hemorrhage while preserving the intrauterine pregnancy, whilst second-trimester cerclage addressed cervical shortening. Our experience supports a conservative and individualized approach guided by patient preferences, clinical stability, and multidisciplinary expertise as a viable strategy for optimizing maternal and fetal outcomes in this rare and high-risk condition.