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Case Reports
. 2025 Jul-Sep;29(3):e2025.00072.
doi: 10.4293/JSLS.2025.00072. Epub 2025 Sep 5.

A Trio of Atypical Ectopic Pregnancies

Bruce Lee  1 , Emery M Salom  1 , Alexa Marie Del Mazo  2
Affiliations
Case Reports

A Trio of Atypical Ectopic Pregnancies

Bruce Lee et al. JSLS. 2025 Jul-Sep.

Abstract

Three cases of atypical ectopic pregnancies requiring surgical evaluation are presented. The first case represents an undiagnosed heterotopic pregnancy who initially presented with a 1st trimester spontaneous abortion and subsequently a ruptured ectopic pregnancy. The second case represents an omental ectopic pregnancy vs an extruded tubal ectopic pregnancy following a salpingectomy requiring omentectomy and appendectomy. The third case showcases a chronic cornual ectopic pregnancy incidentally found during a robotic myomectomy. These cases highlight uncommon presentations of atypical ectopic pregnancies, diagnostic challenges, and surgical treatment.

Keywords: Heterotopic pregnancies; Interstitial ectopic pregnancies; Laparoscopy; Omental ectopic pregnancies.

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Figures

Figure 1.
Figure 1.
Pelvic US demonstrating a right gestational sac with fetal pole in the right adnexa. Laparoscopy is consistent with ruptured right fallopian tube ectopic pregnancy.
Figure 2.
Figure 2.
CT A/P demonstrating a 6.9- and 5.1-cm hematoma. A large omental hematoma with diffuse inflammatory reaction and active arterial bleeding. Subsequent omentectomy was confirmatory for chorionic villus.
Figure 3.
Figure 3.
A left chronic cornual ectopic pregnancy appearing hemorrhagic and necrotic soft tissue incidentally discovered during myomectomy.
See this image and copyright information in PMC

References

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