본 증례는 19세 미혼모로서 개인의원에서 소파술후 계속된느 질출혈 후 본원으로 이송된 후 임상검사 및 초음파검사상 자궁경관임신 진단하에 보존적인 치료로서 Methotrexate(MTX)와 folinic acid를 사용하여 치유한 예로서 게속적인 출산을 원하거나 출혈이 심하지 않을 경우 보존적인 방법으로 MTX의 사용이 고려되는 바 문헌적 고찰과 함께 보고하는 바이다.

Cervical pregnancy is one of most rare form of ectopic pregancy in which the blastocyst implants within the cervical canal below the internal os of uterine cervix. Most cervical pregnancy result in early spontaneous abortion, complicated by severe hemorrhage frm the eroded blood vessels within the cervix. Because of fear of rofuse hemorrhage, abdominal hysterectomy has been historically considered the standard therapy. However, a number of new therapies have been aimed at uterine preservation, conservative treatment is highly desirable for young women who want to be pregnancy in the future. Methotrexate has been utilized recently for the successful management of tubal, interstitial, and cervical ectopic gestations. We report a case of a cervical preganncy that was successfully managed with methotrexate and leucovorine.