An Ectopic Pregnancy with Atypical Presentation

Ectopic pregnancy is defined as implantation of a fertilized ovum outside the uterine cavity. This is an unusual case of ectopic pregnancy. A 29 year old woman reported to the clinic with continuous bleeding for 28 days, associated with pain on and off. There was no preceding amenorrhea with regular cycles. Clinically patient haemodynamically stable. The abdomen was soft, cystic to firm mass of about 7x6cm felt in suprapubic region more towards left iliac fossa, with restricted mobility, with negative serum beta human chorionic gonadotropin. Ultrasound revealed left ovarian mass. Laparatomy-left salphingectomy done and histopathalogy confirmed chronic ectopic pregnancy. Chronic ectopic pregnancy is difficult to diagnose in absence of classical symptoms.