Ectopic Enigma- A Case Series of Unusual Presentations of Tubal Ectopic Pregnancy

Abstract

A pregnancy that develops outside of the uterus is referred to as an ectopic pregnancy. The fallopian tube is the most typical location for ectopic pregnancy. Two percent of reported pregnancies are ectopic pregnancy. Hereby, authors present a case series of three cases, of unusual presentation of tubal ectopic pregnancy. First case was 22-year-old female, para1 living1, presented with abdominal pain, vomiting and no history of amenorrhoea. Her beta Human Chorionic Gonadotropin (HCG) was 82042 mIU/mL. A live ectopic pregnancy of 11 weeks with intact gestational sac ruptured en caul was noted on laparotomy. She underwent right salpingectomy. Second case was a 36-year-old, Abortion 2 Ectopic1, with one and a half months of amenorrhoea, abdominal pain and spotting per vagina with beta HCG of 27472 mIU/mL. Laparoscopy revealed, left sided unruptured tubal stump ectopic pregnancy and was managed by excision of tubal stump ectopic . Third case was a 26-year-old, para 2 living 2, with history of 2 months of amenorrhoea, abdominal pain and spotting per vagina. Laparotomy revealed right infundibular ectopic pregnancy with incomplete abortion with active bleeding. She underwent right salpingectomy. Cases were managed successfully. This case series emphasises the significance of having a high index of suspicion for ectopic pregnancy in all reproductive-age women regardless of their presentation.