World Journal of Laparoscopic Surgery

Register      Login

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


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: 13-06-2022

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


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.

  1. Brancazio S, Saramago I, Goodnight W, et al. Cesarean scar ectopic pregnancy: case report. Radiol Case Rep 2019;14(3):354–359. DOI: 10.1016/j.radcr.2018.12.001.
  2. Al Gadeeb S, Al Gadeeb M, Al Matrouk J, et al. Cesarean scar–unusual site of ectopic pregnancy: a case report. Cureus 2019;11(10):e5970. DOI: 10.7759/cureus.5970.
  3. Alagbe OA, Adeniyi TO, Abayomi OA, et al. Interstitial ectopic pregnancy: a case report. Pan Afr Med J 2017;28(1):132. DOI: 10.11604/pamj.2017.28.135.13889.
  4. Lad NL, Lad NN. Laparoscopic management of scar ectopic pregnancy. Fertil Sci Res 2014;1(1):54. DOI: 10.4103/2394-4285.146708.
  5. Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG 2007;114(3):253–263. DOI: 10.1111/j.1471-0528.2006.01237.x.
  6. Tamada S, Masuyama H, Maki J, et al. Successful pregnancy located in a uterine cesarean scar: a case report. Case Rep Women's Health. 2017;14:8–10. DOI: 10.1016/j.crwh.2017.03.003.
  7. Hwu YM, Hsu CY, Yang HY. Conservative treatment of caesarean scar pregnancy with transvaginal needle aspiration of the embryo. BJOG 2005;112(6):841–842. DOI: 10.1111/j.1471-0528.2004.00533.x.
  8. Wang YL, Su TH, Chen HS. Operative laparoscopy for unruptured ectopic pregnancy in a caesarean scar. BJOG 2006;113(9):1035–1038. DOI: 10.1111/j.1471-0528.2006.01031.x.
  9. Deans R, Abbott J. Hysteroscopic management of cesarean scar ectopic pregnancy. Fertil Steril 2010;93(6):1735–1740. DOI: 10.1016/j.fertnstert.2008.12.099.
  10. Fuchs N, Manoucheri E, Verbaan M, et al. Laparoscopic management of extrauterine pregnancy in caesarean section scar: description of a surgical technique and review of the literature. BJOG 2015;122(1):137–140. DOI: 10.1111/1471-0528.13060.
  11. Einenkel J, Stumpp P, Kösling S, et al. A misdiagnosed case of caesarean scar pregnancy. Arch Gynecol Obstet 2005;271(2):178–181. DOI: 10.1007/s00404-004-0683-1.
  12. Faraj R, Steel M. Management of cornual (interstitial) pregnancy. Obstet Gynaecol 2007;9(4):249–255. DOI: 10.1576/toag.
  13. Brincat M, Bryant-Smith A, Holland TK. The diagnosis and management of interstitial ectopic pregnancies: a review. Gynecol Surg 2019;16(1):2. DOI: 10.1186/s10397-018-1054-4.
  14. Herchelroath D, Miller JL, Wang KC. Novel management of ectopic pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus. J Am Osteopath Assoc 2018;118(9):623–626. DOI: 10.7556/jaoa.2018.137.
  15. Tesemma MG. Pregnancy in noncommunicating rudimentary horn of unicornuate uterus: a case report and review of the literature. Case Rep Obstet Gynecol 2019;2019:1489751. DOI: 10.1155/2019/1489751.
  16. Della Corte L, Fabozzi A, Giampaolino P, et al. A case of 20-week abortion in a rare communicating rudimentary horn of a misinterpreted unicornuate uterus, incorrectly diagnosed as bicornuate: a serious hazard! Eur J Obstet Gynecol Reprod Biol 2019;235:133–135. DOI: 10.1016/j.ejogrb.2019.02.018.
  17. Buntugu K, Ntumy M, Ameh E, et al. Rudimentary horn pregnancy: pre-rupture diagnosis and management. Ghana Med J 2008;42(2):92–94. PMID: 19180211.
  18. Edelman AB, Jensen JT, Lee DM, et al. Successful medical abortion of a pregnancy within a noncommunicating rudimentary uterine horn. Am J Obstet Gynecol 2003;189(3):886–887. DOI: 10.1067/s0002-9378(03)00121-2.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.