This is a 28-year-old woman nulligeste, followed for hypothyroidism under levothyrox consults for a primary infertility of 1 year. She did an infertility checkup: an ultrasound examination that showed a myomatous uterus and ovaries seat of a dermoid cyst. In hysterosalpingography, she has opacified tubes up to their isthmic portion without peritoneal diffusion. The husband's investigation is normal. She had a diagnostic laparoscopy that showed bilateral tubal agenesis with a negative methylene blue test. The patient is proposed for in vitro fertilization.

Cervical pregnancy is one of the few ectopic locations after abdominal pregnancy. It is characterized by the migration of the conceptus the cervical canal sometimes simulating an ongoing abortion. Her diagnosis should be suspected in any woman with risk factors who has suggestive clinical criteria. The ultrasonographic criteria that have been described for this diagnosis are: closed internal orifice of the cervix, peritrophoblastic vascular flow detected in infra-cervical. MRI can be helpful in confirming the diagnosis. The anatomopathological study comes to focus on the diagnosis in case of surgical treatment. The treatment of cervical pregnancy uses several local, systemic methods, endoscopic, and surgical. Until now, no standard treatment is available in the literature. The therapeutic indications are then variously appreciated in the literature, the medical treatment using the Methotrexate is currently the treatment of choice before 12 weeks of amenorrhea, with or without potassium chloride. As for surgical treatment is placed in second line after failure of methotrexate, however some experienced practitioners prefer hysteroscopic resection, and embolization of the uterine artery associated or not with medical treatment. The choice of the technique will depend on the evolution of the initial treatment.