UNUSUAL LOCALIZATIONS OF ECTOPIC PREGNANCIES: A SERIES OF EIGHT PATIENTS

Abdellah Babahabib, Mounir Moukit*, El Mehdi El Hassani, Driss Moussaoui and Jaouad Kouach

ABSTRACT

The vast majority of ectopic pregnancies are localized within the fallopian tube. Nevertheless, pregnancies have been described to implant in unusual rare sites including: uterine cervix, ovary, abdomen, previous cesarean scar, interstitial/cornual tubal segment and myometrium. Diagnosis and treatment of these unusual implantations presents both diagnostic and therapeutic dilemmas. We present a series of eight cases of unusual localizations of ectopic pregnancies including one intramyometrial, two heterotopic, one abdominal, one ovarian, one cornual, one in the previous cesarean scar and one cervical pregnancy. Diagnosis of these unusual ectopic conceptions is clinically challenging and the treatment options have recently involved major surgical procedures, which affect future fertility.

Keywords: Ectopic pregnancy; Unusual localization; Ultrasound; MRI; Management.