Persistent ectopic pregnancy

ABSTRACT

One hundred and eighty six women who received surgical treatment for ectopic pregnancy were selected for this study Of the 73 women [93.2%] who had conservative tubal surgery seven women [9.5%] were diagnosed as having persistent ectopic pregnancy diagnosed by elevated serum beta- hCG The incidence was no higher after laparoscopy than after laparotomy Five women only developed intraabdominal haemorrhage of required laparotomy. It was concluded that use of post operative serial beta-hCG titers might facilitate recognition of this complication in time to prevent further tubal damage. Second look laparoscopy should be based on the presence of symptoms rather than changes in hCG values