Management of Ectopic Pregnancy in Unusual Locations: Five-Year Experience in A Single Center

Year 2017, , 90 - 95, 30.09.2017

İsmet Hortu , Levent Akman Ali Akdemir

https://doi.org/10.5799/jcei.343197

Abstract

Objectives: The aim of this study is to evaluate the diagnostic and therapeutic strategies in
patients with unusual ectopic pregnancy and present a brief review of the literature.
Patients and methods: Twenty- seven cases with ectopic pregnancy in unusual locations were
classified in five groups; two cesarean scars, six cervical, six cornual, two ovarian, and eleven
heterotopic pregnancies. All of data were retrospectively analyzed according to the patient’s
gestational week, gestational sac location, obstetric history, treatment modality and treatment
success.
Results: Eleven patients with heterotopic pregnancy treated by surgery. Five of remaining
sixteen patients were treated medically and two of them required major surgical procedure
(hysterectomy and bilateral internal iliac artery ligation). Minimal invasive procedures and
follow-up were done each remaining patient.
Conclusion: The suspicion of the ectopic pregnancy and evaluation the whole pelvic cavity
through ultrasonography are crucial for diagnosis of ectopic pregnancy. Three-dimensional
ultrasonography can be helpful tool for accurate diagnosis. Early diagnosis of ectopic pregnancy
provides patients to utilize fertility preservation as well as choice several treatment modalities.

Keywords

Ectopic pregnancy, unusual location, 3D Ultrasonography, Laparoscopy

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