A rare case of fourth consecutive fallopian tube ectopic pregnancy

Divya Pandey, Teena Nagar, Shakti Sharma, Sudha Salhan


We present a case of consecutive fourth tubal ectopic in a patient which was managed by emergency laparotomy and salpingectomy. The first two tubal ectopic pregnancies occurred on the right side while the subsequent two occurred on the contralateral side. The patient was planned for IVF-ET.


Ectopic pregnancy, Recurrent tubal ectopic, Salpingectomy

Full Text:



Nabeshima H, Nishimoto M, Utsunomiya H, Arai M, Ugajin T, Terada Y, et al. Total laparoscopic conservative surgery for an intramural ectopic pregnancy. Diagn Therapeut Endosc. 2010;2010:504062.

Farquhar CM. Ectopic pregnancy. Lancet. 2005;366(9485):583-91.

Tulandi T. Reproductive performance of women after two tubal ectopic pregnancies. Fertil Steril. 1988;50(1):164-6.

Yildiz C, Karakus S, Bozoklu Akkar O, Yeniocak H, Cetim M. Three consecutive recurrent ectopic pregnancies: a case report. Basic Clin Sci. 2013;2:161-4.

Afsaneh Tabandeh, Mahsa Besharat. Recurrent ectopic pregnancy in the fallopian tubes. J Clin Diagn Res. 2012 May;6(3 Suppl 1):493-4.

Adelusi B, Al-Meshari A, Akande EO, Chowdhury N. Three consecutive recurrent ectopic pregnancies. East Afr Med J. 1993 Sep;70(9):592-4.

Lema VM. Three consecutive ipsilateral tubal pregnancies in a nulliparous African woman: the role of conservative treatment. Cent Afr J Med. 1995 Feb;41(2):62-6.

Mathew M, Kumari R, Gowri V. Three consecutive ipsilateral tubal pregnancies. Int J Gynaecol Obstet. 2002 Aug;78(2):163-4.

Khan S, Hussain R. Recurrent tubal ectopic pregnancy. Pak J Med Dent. 2012;1(01):66-9.

Department of Health. Why mothers die? In: Department of Health, eds. The Report on Confidential Enquiries into Maternal Deaths in the United Kingdom 1997-1999. London: HMSO; 2001.

Luciano G. Nardo. The dilemma of recurrent ectopic pregnancy after tubal surgery and in vitro fertilization. What to do? Reprod Biomed Online. 2005 Mar;10(3):300.

Pisarska MD, Carson SA. Incidence and risk factors for ectopic pregnancy. Clin Obstet Gynecol. 1999;42(2-8):55-6.

Yao M, Tulandi T. Current status of surgical and nonsurgical management of ectopic pregnancy. Fertil Steril. 1997;67:421.