Successful Management of Three Consecutive Cervical Pregnancy in the Same Patient- a Case Report

Ectopic cervical pregnancy is an infrequent complication of the early gestation. Despite tremendous development in the management of ectopic pregnancy, there still lies dilemma in the diagnosis and management of cervical ectopic pregnancy. Traditionally dilation and evacuation has been used in the successful management of these kind of ectopic gestation. In this case report we describe an uncommon case of recurrent ectopic pregnancy and subsequent management.

Conservative surgical management of ectopic pregnancy and its role in preservation of future fertility

Background: Maternal Mortality is one of the most important issues in our country. Ectopic Gestation is one of the few reasons which contribute to it. The first successful surgical management of a tubal ruptured ectopic pregnancy occurred in 1883. In those times mortality was approximately 60%. Since then lot of development in management of ectopic pregnancy has taken place which has resulted in reduction of related mortality. But still it remains as one of the important topics as now due to more infections (i.e PID) and resulting ectopic gestations and further operative salphingectomies, there is a reduced chance of patient to conceive naturally afterwards. Hence role of conservative surgeries comes to the front. Aims and Objectives: Role of Conservative Surgical Management of Ectopic pregnancy and its relation to future fertility. Materials and Methods: This Study was undertaken at GICE Clinic, Cure Hospital, Kalyani, West Bengal India from January, 2008 to January 2019. During this period 64 patients were diagnosed and operated for Ectopic pregnancy. Results: Forty (62.5%) cases were in between 20-30 years of age. Forty-four (68.7%) cases had no issue. Forty-eight (75.0%) cases were from low socio-economic group. Sixty patients (93.7%) had the history of amenorrhea. It was also observed that history of induced abortion was in 20 (31.2%) cases, PID in 12 (18.7%) cases, appendectomy – 6 (9.4%) cases and history of previous IUCD insertion - 4 (6.3%) were found to be common amongst ectopic gestation cases. Twenty-four (37.5%) cases underwent linear salpingostomy, 8 (12.5%) cases had segmental resection with end to end anastomosis whereas 16 (25.0%) cases had salpingectomy and 16 (25.0%) cases had salpingo-opherectomy with tubectomy [opposite tube] were advocated. In 4(6.3%) cases of linear salpingostomy and 4 (6.3%) cases of segmental resection, the cases had to be re-operated again for unstable haemodynamic condition within 24 hours and were subsequently advocated to salpingectomy. Conclusion: Linear Salpingostomy was found to be a better option for women who desire to become future mother, than that of segmental resection and salpingectomy on affected tube (although pregnancy was reported as opposite tube)

Medical management of cervical pregnancy following in vitro fertilization

Cervical ectopic gestation is a serious and potentially lethal condition encountered in patients undergoing invitro fertilization. Familiarity with these complications will allow accurate and timely diagnosis and help avert potentially disastrous consequences We report a rare case of cervical pregnancy after in vitro fertilization and embryo transfer successfully treated with Methotrexate.

Chronic ectopic pregnancy mimicking pelvic malignancy

Ectopic pregnancy is a common complication of early pregnancy. We present a very atypical case of an ectopic gestation in a woman who presented with a negative pregnancy test, a large pelvic mass, weight loss and bowel obstruction.

1. Two Cases of abdominal Section for intraperitoneal Haemorrhage due to ruptured ectopic gestation 2. Three fatal Cases of ectopic Gestation 3. Ectopic Molar pregnancy 4. A Case of plural ectopic gestation

To the Vorrat l. a woman was brought in a state of collapse with a diagnosis of an ectopic pregnancy; pulse 144, barely perceptible. The rupture occurred in 18 hours, there were fainting, vomiting. The abdomen is not distended, soft, the tumor cannot be felt from the outside, and per vaginam examination is not done to speed up the operation. When the abdomen was opened, the tissues were found bloodless: none of the vessels showed blood; a few pounds of liquid blood spilled out of the peritoneal cavity; clamps were placed on the stretched right fallopian tube and broad ligament, and the fallopian tube was excised along with the ovary; the rupture was near the uterus. The operated woman recovered, although W. did not count on it.

D-r Way. (Adelaide, in Australia). Ectopic gestation, ruptured left Fallopian tube, haemato-salpynx of the right tube of same patient. (The Avstralasian medical Gazette, 1894, IX, p. 299). Ectopic pregnancy, rupture of the left Fallopian tube and hemorrhage in the right tube

The young woman, who considered herself pregnant, developed blood and pain after 5 weeks of pregnancy and lasted for six weeks. She was admitted to the hospital for the operation. In the left side of the pelvis, an elastic tumor the size of an orange was hidden, displaced the uterus to the right, and a stretched tube was felt behind the uterus. During anesthesia, the patient's breathing suddenly became superficial and the pulse weakened, the patient turned pale.

Case of ectopic gestation of eleven and half months’ duration

Mrs. X., 35 years old, menstruation at 17 years old, married, gave birth twice and the last birth was 12 years old. ago. Menstruated correctly after four weeks. The last regulations were in October 1890; gradually the abdomen increased in volume, fetal movements appeared. After 10 months, after the last menstruation, on August 16, 1891, she felt severe abdominal pain, fetal movements stopped. On September 1st, a watery expiration appeared from the genital canal. The patient asked for medical help and Dr. Gramm, having examined the patient, found: the abdomen is strongly and unevenly stretched; a dense tumor is felt on the right.

Unruptured ovarian ectopic gestation: a rare clinical scenario

Ovarian pregnancy is a rare event, with the incidence ranging from 1 in 2000 to 1 in 60 000 deliveries and accounts for 3% of all ectopic pregnancies. The first case of ovarian pregnancy was published by Saint Monnisey. Authors report a case of a 23-year-old patient with severe lower abdominal pain following five weeks of amenorrhea diagnosed as tubal ectopic pregnancy on ultrasonography. The patient was taken up for emergency laparoscopy and unexpected finding of ovarian pregnancy was established. Early diagnosis and prompt treatment go a long way to prevent serious outcomes and to ensure favourable future reproductive potential.