Heterotopic cervical pregnancy successfully treated with transvaginal ultrasound-guided aspiration and cervical-stay sutures

OBJECTIVE: To present a case of a heterotopic cervical pregnancy successfully treated with transvaginal ultrasound-guided aspiration and cervical-stay sutures. DESIGN: Case report. SETTING: Tertiary academic IVF program. PATIENT(S): A 35-year-old woman who conceived from IVF-ET treatment at 5.5 weeks of gestation. INTERVENTION(S): Transvaginal ultrasound-guided aspiration of the cervical pregnancy followed by cervical-stay sutures to control hemorrhage after aspiration. MAIN OUTCOME MEASURE(S): Recovery of the patient, preservation of the intrauterine pregnancy, and sequelae. RESULTS(S): The cervical pregnancy was successfully aborted, and the intrauterine pregnancy progressed to term. CONCLUSION(S): Transvaginal ultrasound-guided aspiration in combination with hemostatic cervical-stay sutures can be safely used to manage heterotopic cervical pregnancies.