Ectopic pregnancy is one of the most important risk factors for maternal morbidity and mortality in early pregnancy. Cervical ectopic pregnancy is the rarest localization of ectopic pregnancy, although it constitutes a high-risk situation. On the one hand, there is a high rate of incorrect diagnosis; on the other, the clinician might be faced with severe therapeutic complications - for example, life-threatening hemorrhage. There are a variety of therapeutic alternatives but no standard guidelines exist regarding the ideal treatment. In most cases, successful treatment is achieved by a combination of therapeutic options. Conservation of fertility has priority, while massive hemorrhage also needs to be prevented. In this article, we present pitfalls and current strategies for diagnosis and management in patients with cervical pregnancy by introducing a classical constellation in an affected patient.