Ectopic pregnancy is a potentially life-threatening condition occurring in 1-2 % of all pregnancies. The complications, treatment and surgical management of ectopic pregnancy along with two case studies are penned down in this article. 

Ectopic pregnancy

A pregnancy is termed ectopic when the blastocyst implants, anywhere other than the endometrial lining of the uterine cavity. Ectopic pregnancy after hysterectomy is extremely rare, the cause may be due to communication between the vagina and the peritoneal cavity, vagino-peritoneal fistula or fallopian tube prolapse into the vaginal cuff.

Every sexually active, reproductive-aged woman who presents with abdominal pain or vaginal bleeding should be screened for pregnancy, regardless of whether she is currently using contraception. Women who become pregnant and have known significant risk factors should be evaluated for possible ectopic pregnancy even in the absence of symptoms.

When an ectopic pregnancy is suspected serial serum beta HCG monitoring is advised. A robust IU pregnancy should cause a 53-66% rise in beta HCG in 48 hours, whereas in ectopic pregnancy beta HCG value won’t be doubled in 48 hours. TVUSS is done if beta HCG is above the discriminatory zone.