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A case report on cervical ectopic pregnancy Authors: DR. Manisha M Institution: Department of Obstetrics and Gynaecology, IMS, AND SUM HOSPITAL Background: Cervical pregnancy occurs when an embryo undergoes nidation in the endocervical canal. Any compromise in the capacity of the uterine cavity that prevents implantation in the endometrium could be a contributing factor. Incidence: less than 0.1% of all ectopic pregnancies. Risk factors include in vitro fertilisation, endometrial injury caused by pelvic inflammatory disease or postsurgical trauma such as caesarean section or uterine curettage, history of abortions, intrauterine device use, and structural uterine anomalies. A transvaginal ultrasound promptly confirmed the diagnosis, identifying a gestational sac nestled within the cervix. The management was by Single-dose intramuscular methotrexate 50 mg was administered, and manual vacuum aspiration (MVA) was performed on the third day. Cervical tamponade was performed with a Foley catheter, with its bulb inflated with 30 mL of normal saline. Case report: A 30-year-old G2A1 at 6 weeks with came with complaints of pain abdomen associated with spotting per vaginum for 1 day. On examination, she was mildly pale with generalised tenderness over the RIF, LIF, and suprapubic area, with mild pad soakage and cervical os closed, aUG report suggestive of cervical ectopic pregnancy. Discussion: Patient received one dose of inj. Methotrexate and underwent dilation and curettage with intracervical Foley's balloon tamponade. Product of conception sent for HPE study. Successful postoperative follow-up revealed a complete resolution of symptoms, with no signs of residual ectopic tissue. This case highlights the critical need for early detection and effective treatment of cervical ectopic pregnancies to reduce risks and safeguard fertility.