CERVICAL ECTOPIC PREGNANCY - A MATERNAL NEAR MISS CASE

Primary cervical pregnancy is a rare entity, the reported incidence being 1 in 8,600 to 12,400 and 1% of extrauterine pregnancies. A case of maternal near miss with cervical pregnancy in 29 yr old gravida three para two with previous caesarean section presented with bleeding per vagina followed by 16 weeks of amenorrhoea with severe pallor and features of hypovolaemic shock is described. Urine beta HCG test was positive. She was resuscitated and underwent laparotomy followed by total abdominal hysterectomy with bilateral ovaries preserved. Histopathological examination confirmed the diagnosis with features of endocervical trophoblastic invasion. A literature review discloses very few cases of cervical pregnancy. Early detection and prompt treatment can preserve the future fertility of the woman.