---

Management of non-tubal ectopic pregnancy: A case series

---

Case Series

Author Details : Salomi Singh, Yesha Thakker*, Devdatta Dabholkar, Sameeksha Gabhane

Volume : 10, Issue : 4, Year : 2023

Article Page : 518-524

https://doi.org/10.18231/j.ijogr.2023.099

Suggest article by email

Get Permission

---

Abstract

Aim & Background: The aim of this study is to review the various modalities used for management of non-tubal ectopic pregnancies. Ectopic pregnancy is a rare occurrence comprising 1-2% of all pregnancies. However, the most common site for ectopic implantation is fallopian tube. Tubal ectopic pregnancies 95% of all ectopic pregnancies while rest 5% are non-tubal pregnancies. Common sites for non-tubal ectopic pregnancy are cervical, cornual, interstitial, caesarean scar, ovarian and abdominal. Often misdiagnosed, however, detailed history taking, clinical examination and ultrasound helps to establish diagnosis. In this article, we discuss various cases of non-tubal ectopic pregnancy managed with medical treatment using methotrexate or surgical intervention or a combination of both.
Materials and Methods: This study is a retrospective study carried out at MGM Medical College, Navi Mumbai, India between the years 2020-2022
Results: A total of 10 patients were diagnosed using clinical, laboratory and radiological methods and were then managed using medical and surgical management modalities ranging from methotrexate therapy to obstetric hysterectomy.
Conclusion: There should be a clear protocol for management of non-tubal ectopic pregnancies in hospitals since there is an anticipated rise in the near future because of an increased rate of risk factors.
 

Keywords: Non-tubal ectopic pregnancy, Laparoscopy, Caesarean scar, Interstitial, Cervical, abdominal pregnancy.

How to cite : Singh S, Thakker Y, Dabholkar D, Gabhane S, Management of non-tubal ectopic pregnancy: A case series. Indian J Obstet Gynecol Res 2023;10(4):518-524

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.