cervical pregnancy is a rare condition in which the egg is implanted in the cervical canal causing it to distend as the egg grows. cervical pregnancy constitutes less than 1% of all ectopic pregnancies. painless hemorrhage is a habitual clinical characteristic and on physical examination a very vascularized hypertrophic cervix is observed with a tissue surpassing the external orifice. ultrasonography may be used as a complementary diagnostic tool to show directly the presence of a gestational sac. a successful management of a viable seven-week gestation cervical pregnancy is reported herein. feticide was performed with a single intraamniotic methotrexate injection (25 mg) guided by transvaginal ultrasonography. systemic methotrexate in a single dose intramuscular (50 mg/m2) was associated. the conservative management of cervical ectopic pregnancy with methotrexate was effective and safe.