ABSTRACT
An analysis of women who were identified clinically to have ectopic pregnancy was done at the Department of Obstetrics and Gynaecology, Unit 2, Dow Medical College and Civil Hospital Karachi. The study period was from January 2002 to January 2003, over a period of 12 months. The objective of the study was to idents the risk factors for ectopic pregnancy, and to see the correlation between clinical sign and symptoms and the final diagnosis. A total of 35 cases were managed in the unit during the study period. Palpable adnexal mass was the most common sign observed in 28 [80%] patients, followed by amenorrhea and abdominal pain which were observed in 24 [68%%] cases. 80% of the patients gave no history of contraception, a factor which has been found significant for tubal rupture. Left fallopian tube was the most common site of rupture, seen in 60% of patients. All the patients presented late with either confirmed ectopic pregnancy on ultrasound, or with sign and symptoms of hypovolemic shock, characteristic of tubal rupture