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Delayed Diagnosis and Management of Second Trimester Cervical Ectopic Pregnancy - Case Report

Abulgasem Etraim, Hanan Eljabu, Ismail Elfortia and Awatif Andisha

A second trimester cervical ectopic pregnancy is a rare kind of ectopic pregnancy and is associated with a high maternal mortality rate. Early diagnosis and management of an ectopic pregnancy is considered as a principal factor to decrease the maternal mortality rate as well as to preserve the fertility of the patient. A 36 year old patient G1P0, 24 weeks with an attack of per-vaginal bleeding and abdominal pain, was diagnosed as a case of an invetable abortion. After termination of the pregnancy, intractable and uncontrolled bleeding was noticed, so a decision of lapratomy was taken and a diagnosis of cervical ectopic pregnancy was confirmed and managed with a total abdominal hysterectomy. It is recommended that staff in the obstetric and gynaecology departments should have training in the use of technology (Ultra-Sound Scan) and its application in order to eliminate possible complications.