Cervical Insufficiency Treated With Emergency Cerclage at 10 Weeks of Gestation: A Case Report and Literature Review

Cervical insufficiency is rarely observed during the first trimester of pregnancy. Its diagnosis during early pregnancy is challenging; however, it may be suspected by carefully evaluating the implantation site in combination with obstetric history, serial ultrasound assessments of cervical length, and inflammatory markers. Nevertheless, the optimal management strategy remains unclear. Herein, we report a case of cervical insufficiency resulting from a previous cervical ectopic pregnancy diagnosed at 9 weeks of gestation. To the best of our knowledge, this is a rare case in which emergency cervical cerclage was performed as early as 10 weeks of gestation, resulting in a live birth.