Second trimester unruptured ampullary ectopic pregnancy with variable presentations: Report of two cases
نویسندگان
چکیده
Introduction: Ninetyfive percent of ectopic pregnancies occur in the fallopian tube. Diagnosis and exact location of ectopic pregnancy is usually easy during the 1st trimester of pregnancy by ultrasonography. Ampulla is the most common site for ectopic tubal pregnancies. Case Series: Here we report two cases of ampullary ectopic pregnancy with variable presentation. First case was a 27yearold female who presented with bleeding pervaginum following IUCD insertion in lactational amenorrhea period. She was diagnosed as a case of viable, unruptured, tubal ampullary ectopic pregnancy of 14 weeks gestational age with copperT in situ. Second case presented with seven months amenorrhea with dead fetus and repeated failed attempts of induction of labour. Later on she was diagnosed as a case of 26 weeks unruptured ampullary ectopic pregnancy with a dead fetus. Conclusion: Second trimester unruptured tubal pregnancy is rare among ectopic pregnancies. Ultrasonography is still the diagnostic modality of choice. The probability of ectopic pregnancy should be born in mind in cases of IUCD with spotting pervaginum and repeated failure of labour induction even at advanced gestational age.
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Unruptured Ampullary Ectopic Pregnancy at 16-week Period of Gestation with Live Fetus.
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