Management of non-tubal ectopic pregnancy: A case series

Abstract

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. This study is a retrospective study carried out at MGM Medical College, Navi Mumbai, India between the years 2020-2022A 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.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.