World Journal of Laparoscopic Surgery

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VOLUME 15 , ISSUE 1 ( January-April, 2022 ) > List of Articles

CASE SERIES

Laparoscopic Management of Uncommon Presentations of Ectopic Pregnancy: A Case Series

Virupakshi Ajjammanavar, Jayashree Sambashivaiah, Abirami Gobinathan, Anjali Siddesh

Keywords : Cesarean scar pregnancy, Ectopic pregnancy, Interstitial pregnancy, Laparoscopy, Rudimentary horn pregnancy

Citation Information : Ajjammanavar V, Sambashivaiah J, Gobinathan A, Siddesh A. Laparoscopic Management of Uncommon Presentations of Ectopic Pregnancy: A Case Series. World J Lap Surg 2022; 15 (1):90-93.

DOI: 10.5005/jp-journals-10033-1493

License: CC BY-NC 4.0

Published Online: 09-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

The incidence of ectopic pregnancy, which constitutes about 2% of all pregnancies, is increasing due to increasing risk factors and availability of better diagnostic modalities. It is one of the important causes for maternal mortality in the first trimester. Some ectopic pregnancies, usually the ones in the uterus, may be missed in the initial ultrasound evaluation and require high index of suspicion. If ultrasound is inconclusive, MRI may help in the diagnosis. Management modalities include expectant, medical, combined medical/surgical, and surgical treatment. In patients opting for surgery, laparoscopy provides excellent visualization of the pathology, decreases maternal morbidity, and improves the fertility outcome in future pregnancies. Here we are discussing four rare ectopic pregnancies: two cases of cesarean scar pregnancy, one case of interstitial pregnancy, and one case of rudimentary horn pregnancy and their successful management by laparoscopy.


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