Background: Ectopic endocervical pregnancy is a rare clinical dilemma, threatening to life.
Case Presentation: A 30 years young lady presented with painless vaginal bleeding of short duration without the history of amenorrhea. On radiological examination, she was diagnosed as a case of cervical polyp/fibroid. Provisional clinical diagnosis was as a case of retained products of conception. She had a history of three previous Caesarian sections; hence, hysterectomy was performed. Histopathologically, the uterus was found to have adenomyosis, while endocervical canal was embedded by wellformed chorionic tissue from internal os to the external os. The ectocervix was spared of invasion by chorionic tissue.
Conclusion: Based on histopathological findings, a diagnosis of ectopic endocervical pregnancy associated with adenomyosis uterus was established. In given clinical scenario, ectopic pregnancy in endocervical region may be included in differential diagnosis of painless vaginal bleeding in young ladies.
Key words: Aetiopathogenesis, ectopic pregnancy, ectopic endocervical pregnancy, case report
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