Small cell neuroendocrine carcinoma of the cervix (SCNCC) is considered to be an extremely rare, highly invasive and aggressive subtype of squamous cell carcinoma. It is particulary rare during pregnancy. Here we report a case in which a 32-year-old patient who was admitted to our Department at 27 completed weeks of gestation with intermittent vaginal spotting and a large amount of malodorous vaginal discharge. Gynecological examination revealed a 2 cm exophytic polypoid tumor coming out of the cervix. On rectal examination there was no clinically evident parametrial invasion. Biopsy of the cervix was performed and the diagnosis of small cell neuroendocrine carcinoma was established. We reviewed and discussed the features, diagnosis, treatment and prognosis of SCNCC diagnosed during pregnancy. Sitnostanični neuroendokrini rak cerviksa je iznimno rijedak, visoko invazivan i agresivan podtip pločastog raka cerviksa. Poglavito je rijedak tijekom trudnoće. U ovom radu prikazujemo slučaj 32- godišnje bolesnice koja je zaprimljena u našu kliniku s navršenih 27 tjedana trudnoće, s oskudnim vaginalnim krvarenjem, te obilnim iscjetkom neugodnog mirisa. Pregledom u spekulima smo pronašli polipoidnu tvorbu veličine 2 cm koja je prominirala iz cerviksa. Rektalnim pregledom nismo pronašli zahvaćenost parametrija. Učinjena je biopsija polipoidne tvorbe i postavljena dijagnoza sitnostaničnog neuroendokrinog raka cerviksa. U prikazu slučaja raspravljamo o značajkama, dijagnozi, liječenju i prognozi ovoga raka dijagnosticiranog tijekom trudnoće