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Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Cervical pregnancy is a very rare, potentially life-threatening type of ectopic pregnancy. The condition is usually difficult to differentiate from the cervical phase of an incomplete abortion or a bleeding cervical fibroid. A 24-year-old Nigerian woman was seen in a private hospital with a history of 2.5 months amenorrhea, followed by irregular, occasionally heavy, vaginal bleeding for 8 days. She denied any history of associated abdominal pain or urinary symptoms. Before this recent period of morbidity, the woman's menses had been regular every 30 days with normal blood loss of 4 days' duration. She had had two prior normal deliveries, most recently 2 years earlier, and had no history of prior abortion, dilatation, and curettage; infertility; or any contraceptive practice before consultation. Vaginal examination found no active bleeding, but a bulky, soft, 1-2 cm dilated cervix. An ultrasound scan obtained by the patient in another private clinic one day earlier identified an empty uterine cavity, but a bulky cervix with a gestational sac and fetal node. The patient was to be admitted for immediate evacuation, but left the hospital in search of money for the operation. The products of conception were evacuated at the hospital the next day. The patient was in satisfactory condition with no complaints at 4 weeks follow-up.
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PMID:Cervical ectopic pregnancy: a case report. 885 77

Cervical pregnancy is a rare kind of intrauterine ectopic pregnancy. Diagnosis and treatment of cervical pregnancy have enormously changed in the last 15 years. Before 1980, diagnosis was made when dilation and curettage for presumed incomplete abortion resulted in sudden and uncontrollable hemorrhage. Hysterectomy was practiced in order to save the patient's life. Today, cervical pregnancy is diagnosed by ultrasound (US) during the Ist trimester of pregnancy, so that the patient's fertility can be preserved. Therefore any physician should consider the possibility of a cervical pregnancy in a woman with abdominal pain and vaginal bleeding during the first trimester of pregnancy. In this study we reviewed the literature on the epidemiology, etiology, diagnosis and treatments of cervical pregnancy.
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PMID:Cervical ectopic pregnancy: clinical review. 1676 40