Conservative treatment of cervical ectopic pregnancy with transvaginal ultrasound-guided aspiration and single-dose methotrexate

Objective: To present a case of cervical ectopic pregnancy successfully treated with ultrasound-guided aspiration and single-dose methotrexate administered systemically. Design: Case report. Setting: University hospital. Patient(s): A 27-year-old nulliparous woman with a cervical ectopic pregnancy. Intervention(s): Transvaginal ultrasound-guided aspiration of the cervical ectopic pregnancy followed by single-dose methotrexate administered systemically. Main Outcome Measure(s): Recovery of the patient, successful conservative treatment of the cervical ectopic pregnancy, with preservation of the uterus. Result(s): The cervical ectopic pregnancy was successfully aborted, and the reproductive capability of the patient was preserved. Conclusion(s): Transvaginal ultrasound-guided aspiration in combination with single-dose methotrexate administered systemically can be safely used to treat cervical ectopic pregnancies. (Fertil Steril(R) 2004;81: 1130-2. (C) 2004 by American Society for Reproductive Medicine.).