High maternal 5% 20%, perinatal mortality 4095% and morbidity is reported respectively.2,6 The estimated mortality risk of abdominal pregnancy is 7.7 fold that of tubal pregnancy
and 90 fold that of intrauterine pregnancy.8 Patients with abdominal pregnancy usually presents with recurrent episodes of abdominal pain, vaginal bleeding and gastrointestinal symptoms.
(8.) Yuen P M, Rogers M S, Chang A: A review of laparoscopy and laparatomy in the management of tubal pregnancy
, hongkong medical journal 1997 jun:3(2):153-15.
is the single most important cause for tubal pregnancy
. Clinically its presentation is variable from acute to chronic.
Intra uterine pregnancy in a bicornuate uterus, ectopic pregnancy like tubal pregnancy
, Cornual pregnancy and abdominal pregnancies are common sonographic differential diagnosis.
Salpingitis isthmica nodosa: A high risk for tubal pregnancy
. Obstet Gynecol Surv.
Salpingitisisthemic nodosa; A high risk for tubal pregnancy
. Obstet Gynecol 1983; 2: 73-50.
Salpingostomy is preferred in women of reproductive age whereas salpingectomy is done in severely damaged tube, recurrent ectopic pregnancy in the same tube, uncontrolled bleeding after salpingostomy, large tubal pregnancy
(>5 cm), or who have completed their family.
The most common type of ectopic is tubal pregnancy
. We had 5 special cases, one each of interstitial pregnancy, scar ectopic, cervical pregnancy and 2 cases of heterotopic pregnancies.
It is the rarest variety of tubal pregnancy
because of the thick and vascular musculature of uterine wall with greater distensibility the fetus grows dissecting the muscle fibre for a longer period (12-14 weeks) before rupture.
Although the purpose of these studies was not related to the issue of ectopic pregnancy and they suggest that blastocyst transfer does not reduce the likelihood of tubal pregnancy
Normal 17(53.1) 12(37.5) 2 Hydrosalpinx 3(9.3) 1(3.1) 3 TO mass 2(6.5) -- 4 Tubal block 3(9.3) 1(3.1) 5 Ruptured 5(15.6) -- 6 Thickened 1(3.1%) -- 7 Adhesions 1(3.1) 2(6.2) 8 -- -- -- 9 -- -- -- 10 -- -- -- Table 3: Laparoscopic Management of Tubal Pregnancy
& Ovarian Masses among cases during study period Laparoscopic Management Sr.
Many cases of Chlamydia salpingitis are indolent and asymptomatic causing tubal damage and subsequent tubal pregnancy
. We identified 28.2% of our patients having no etiological factors.