Ultrasound in Emergency Medicine| Volume 41, ISSUE 6, P655-657, December 2011

Cervical Ectopic Pregnancy Diagnosed by Point-of-Care Emergency Department Ultrasound



      Although rare, cervical ectopic pregnancy (EP) represents a potentially lethal variation of a common first-trimester disease entity.

      Case Report

      We report a case of low abdominal pain and vaginal bleeding diagnosed as a cervical EP by point-of-care ultrasound.


      Familiarity with cervical EP and its sonographic appearance is essential for emergency physicians because it can be easily mistaken for an intrauterine pregnancy or other obstetric/gynecologic pathology, such as an incomplete abortion or nabothian cyst. The management of each of these differs substantially, making accurate diagnosis crucial.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Benson C.B.
        • Doubilet P.M.
        Strategies for conservative treatment of cervical ectopic pregnancy.
        Ultrasound Obstet Gynecol. 1996; 8: 371-372
        • Cepni I.
        • Ocal P.
        • Erkan S.
        • et al.
        Conservative treatment of cervical ectopic pregnancy with transvaginal ultrasound guided aspiration and single dose methotrexate.
        Fertil Steril. 2004; 81: 1130-1132
        • Ushakov F.B.
        • Elchalal U.
        • Acerman P.J.
        • Schenker J.G.
        Cervical pregnancy: past and future.
        Obstet Gynecol Surv. 1997; 52: 45-59
        • Kouliev T.
        • Cervenka K.
        Emergency ultrasound in cervical ectopic pregnancy.
        J Emerg Med. 2010; 38: 55-56
        • Saroja C.S.
        • Galaal M.
        • Leeson S.
        A rare case of cervical twin ectopic pregnancy.
        J Obstet Gynecol. 2010; 30: 66-67
        • Gun M.
        • Mavrogiorgis M.
        Cervical ectopic pregnancy: a case report and literature review.
        Ultrasound Obstet Gynecol. 2002; 19: 297-301
        • Fogel S.R.
        • Slasky B.S.
        Sonography of Nabothian cysts.
        AJR Am J Roentgenol. 1982; 138: 927-930
        • Osmers R.
        • Kurjak A.
        Ultrasound and the uterus.
        Parthenon Publishing Group Inc., Pearl River, NY1995
        • Jung E.J.
        • Byun J.Y.
        • Lee J.M.
        • Choi B.G.
        • Hahn S.T.
        Characteristic MR findings of cervical pregnancy.
        J Magn Reson Imaging. 2001; 13: 918-922