The clinical presentation of abdominal pregnancy differ from that of tubal pregnancy
, the symptomatology also varies according to the involvement of viscera6.
this shows that Infertility and previous tubal surgery is the high risk factor for tubal pregnancy
. in the study conducted by Rashmi et al in June 2012 there was history of tubectomy in 16.21% cases and 16.21% had history of infertility and previous ectopic pregnancy was found in 2.7%.
In their study, most common was tubal pregnancy
, and salpingectomy was the treatment in majority (81.9%) which is comparable with our study (90%).
Regarding ectopic tubal pregnancy
, it can end up in tubal rupture, tubal abortion or spontaneous resolution.
However, it is important to detect an extrauterine abdominal pregnancy because the associated maternal mortality is 90 times greater than with an intrauterine pregnancy and 8 times greater than the tubal pregnancy
In contrast to tubal pregnancy
, a history of pelvic inflammatory disease or the use of an intrauterine contraceptive device does not increase the risk of ovarian pregnancy.
, cornual pregnancy, and abdominal pregnancy are common sonographic and clinical misdiagnosis.
A randomized trial comparing single dose systemic methotrexate and laproscopic surgery for the treatment of unruptured tubal pregnancy
. Br J Obstet & Gynecol 2001;108(2):192-203.
Vaginal bleeding, unlike tubal pregnancy
, is not typical because of the relatively better trophoblast development.
The clinical presentation of an abdominal pregnancy can differ from that of a tubal pregnancy
. Although there may be great variability in symptoms, severe lower abdominal pain is one of the most consistent findings.
had been only seen after proximal tubolysis and salpingoneostomy procedures, while all pregnancies developed after the other laparoscopic tuboplasty procedures were intrauterine ones.
Major risk factors for interstitial pregnancies include assisted reproductive techniques, previous tubal pregnancy
, tubal surgery, history of pelvic inflammatory disease, and sexually transmitted diseases .