Table of Contents    
Case Series
 
Second trimester unruptured ampullary ectopic pregnancy with variable presentations: Report of two cases
Rekha Sachan1, Pooja Gupta1, ML Patel2
1Department of Obstetrics and Gynecology, CSM Medical University, Lucknow.
2Department of Medicine, CSM Medical University, Lucknow.

doi:10.5348/ijcri-2012-08-154-CS-1

Address correspondence to:
Dr. Rekha Sachan, MS, FICOG
Professor, Department of Obstetrics & Gynaecology
CSM Medical University
Lucknow
India
Phone: +919839009290
Email: drrekhasachan@gmail.com

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How to cite this article:
Sachan R, Gupta P, Patel ML. Second trimester unruptured ampullary ectopic pregnancy with variable pesentations: Report of two cases. International Journal of Case Reports and Images 2012;3(8):1–4.


Abstract
Introduction: Ninety-five percent of ectopic pregnancies occur in the fallopian tube. Diagnosis and exact location of ectopic pregnancy is usually easy during the 1st trimester of pregnancy by ultrasonography. Ampulla is the most common site for ectopic tubal pregnancies.
Case Series: Here we report two cases of ampullary ectopic pregnancy with variable presentation. First case was a 27-year-old female who presented with bleeding pervaginum following IUCD insertion in lactational amenorrhea period. She was diagnosed as a case of viable, unruptured, tubal ampullary ectopic pregnancy of 14 weeks gestational age with copper-T in situ. Second case presented with seven months amenorrhea with dead fetus and repeated failed attempts of induction of labour. Later on she was diagnosed as a case of 26 weeks unruptured ampullary ectopic pregnancy with a dead fetus.
Conclusion: Second trimester unruptured tubal pregnancy is rare among ectopic pregnancies. Ultrasonography is still the diagnostic modality of choice. The probability of ectopic pregnancy should be born in mind in cases of IUCD with spotting pervaginum and repeated failure of labour induction even at advanced gestational age.

Key Words: Ampullary, Ectopic pregnancy, IUCD, Intrauterine contraceptive device, Laparotomy, Ultrasonography

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Author Contributions:
Rekha Sachan – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Pooja Gupta – Substantial contributions to Drafting the article, Final approval of the version to be published
ML Patel – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Rekha Sachan et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)