Unusual Ectopic Pregnancy: Beyond the Tubes

Nearly 95 percent of ectopic pregnancies are implanted in the various segments of the fallopian tube, the remaining 5 percent of non tubal ectopic pregnancies (EP) implants in the ovary, peritoneal cavity, cervix, or prior cesarean scar and are considered unusual ectopic pregnancies. Unusual EP are considered an important challenge for the gynaecologist who must recognize this condition before severe complications he increased use of assisted reproduction techniques and the rise in cesarean deliveries have been accompanied by a rise of unusual EP, especially scar pregnancies. Diagnosis is often late because women could be asymptomatic or show unspecific pain and a severe abdominal bleeding could represent the first manifestation. Ultrasound and 3D scanning became a very useful non invasive tool for a precise