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Management of extra-tubal and rare ectopic pregnancies: case series and review of current literature

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Abstract

Objective

Management of extra-tubal ectopic gestations remains an inadequately explored clinical field due to the rarity of the presentations. We present a synopsis of the management highlighted by our personal case series.

Method

A literature search was conducted through Pubmed and Medline databases. We reviewed all cases presenting with extra-tubal nidations in our institute, including seven interstitial, two cervical, three ovarian and two abdominal pregnancies.

Result

The advances in minimal access techniques and imaging modalities have resulted in novel fertility preserving endoscopic procedures. All except one of the patients were treated by endoscopic procedures, including a novel procedure for evacuation of cornual ectopics.

Conclusion

A high index of suspicion is essential, combined with meticulous review of clinical findings and imaging modalities to make an accurate diagnosis. Treatment with the least invasive method, either by minimal access techniques, non-invasive radiological procedures or medical treatment should be encouraged.

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Authors and Affiliations

  1. Harold Wood Hospital, Gubbins Lane, Romford, Essex, RM3 0BE, UK

    R. Oliver, M. Malik & A. Coker

  2. Early Pregnancy Assessment and Treatment Unit, Harold Wood Hospital, Gubbins Lane, Romford, Essex, RM3 0BE, UK

    J. Morris

Authors
  1. R. Oliver
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  2. M. Malik
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  3. A. Coker
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  4. J. Morris
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Correspondence to R. Oliver.

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Oliver, R., Malik, M., Coker, A. et al. Management of extra-tubal and rare ectopic pregnancies: case series and review of current literature. Arch Gynecol Obstet 276, 125–131 (2007). https://doi.org/10.1007/s00404-006-0311-3

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  • DOI: https://doi.org/10.1007/s00404-006-0311-3

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