35-year-old pregnant woman came to Maternity Clinic of MC Erebouni complaining of severe lower abdominal pain and bleeding. The pregnant woman was immediately hospitalized and all necessary laboratory and instrumental examinations were performed.12-week cervical pregnancy was diagnosed, chorion ingrowth toward muscular layer in the scar region caused by the former caesarean section.
Cervical pregnancy is a rare type of ectopic pregnancy. It accounts for only about one out of 500,000 pregnancies, and is 0.15 percent of cases of ectopic pregnancies.
According to the accepted procedure, the case was reported to the management, and was called a consilium headed by Director of Maternity Clinic of MC Erebouni Dr. Andranik Poghosyan. Since the woman previously had a serious pulmonary pathology, surgery could endanger her life. At the same time, this ectopic pregnancy was also life threatening. And finally, as a result of a multi-disciplinary discussion, it was decided to have a life-saving surgery immediately. Dr. Tigran Hovhannisyan, head of Maternity and Postpartum Unit, obstetrician gynecologist David Hambardzumyan, anesthesiologist Serob Mikaelyan performed surgery together. The surgery went well, no complications. Termination of pregnancy was performed, the woman's life was saved.
