Severe complication after termination of a second trimester cervical pregnancy

Objective To report a supracervical hysterectomy performed after a life-threatening hemorrhage due to an attempted surgical termination at a gestational age of 18 weeks, which appeared to be a cervical pregnancy. Design Case report. Setting Teaching hospital. Patient(s) A 36-year-old pregnant woman, with two previous cesarean sections. Intervention(s) Supracervical hysterectomy. Main Outcome Measure(s) Not applicable. Result(s) A stable patient. Conclusion(s) By missing a cervical pregnancy in the second trimester, a life-threatening hemorrhage occurred after an attempted surgical termination. In case of failure of the conservative therapy this rare diagnosis should be considered. A supracervical hysterectomy at this gestational age is the only therapeutic option.