Ectopic pregnancies at unusual locations: diagnosis and management with limited resources

ABSTRACT

The majority of ectopic pregnancies are located within the fallopian tubes. Nevertheless, pregnancies can be implanted in the cervix, interstitial tubal segment, ovary and at various intra-abdominal sites. The diagnosis and treatment of these unusual implantation sites present both diagnostic and therapeutic dilemmas. The majority of data regarding these unusual ectopic pregnancies came largely from case reports. In the past, for the treatment of these ectopic pregnancies various combinations of surgery and systemic and local chemotherapy were used. In this article, we attempt to share our experience with three unusual types of ectopic pregnancies, their presentation, diagnosis and management with limited resources