A rare case of chronic ectopic pregnancy mimicking ovarian tumor: a diagnostic dilemma

Maureen Prativa Tigga, Salil Bindu Chakraborty, Jayanta Ray, Sourish Debbarma, Amulya Debbarma


Clinical presentation of chronic ectopic pregnancy is often perplexing. The diagnosis becomes difficult due to paucity of classical signs and symptoms and at times the relevant investigations turn out to be falsely negative. We present one such case, reporting to our hospital which serves the underprivileged North Eastern population of India. The low resource set up led to limitations in our approach and here we point out the factors which led to the diagnostic dilemma. We are reporting this case because similar challenges can be faced by other clinicians who are working in set up like ours.


Chronic ectopic pregnancy, Hematosalpinx, Ovarian tumor

Full Text:



Cole T, Corlett RC Jr. Chronic ectopic pregnancy. Obstet Gynecol. 1982;59:63-8.

Uğur M, Turan C, Vicdan K, Ekici E, Oğuz O, Gökmen O. Chronic ectopic pregnancy: a clinical analysis of 62 cases. Aust NZ J Obstet Gynaecol. 1996;36:186-9.

Bedi GD, Moeller D, Fagan CJ, Winsett MZ. Chronic ectopic pregnancy. A comparison with acute ectopic pregnancy. Eur J Radiol. 1987;7:46-8.

Saatli B, Yıldırım N, Çağlıyan E, Obuz F, Koyuncuoğlu M. What is your diagnosis? J Turk Ger Gynecol Assoc. 2013;14(2):123-4.

Subramanyam BR, Raghavendra BN, Balthazar EJ, Horii SC, Hilton S, Goldstein SR. Hematosalpinx in tubal pregnancy: sonographic-pathologic correlation. AJR Am J Roentgenol. 1983;141(2):361-5.

Nacharaju M, Vellanki VS, Gillellamudi SB, Kotha V, Alluri A. A rare case of chronic ectopic pregnancy presenting as large hematosalpinx. Clin Med Insights Reprod Health. 2014 Jan;8:1-4.

Hunter CL, Ladde J. Molar pregnancy with false negative β-hCG urine in the emergency department. West J Emerg Med. 2011 May;12(2):213-5.

Sindos M, Wang TF, Pisal N, Eben F, Singer A. Bilateral hematosalpinx in a case of ectopic pregnancy: a clinical dilemma. Am J Obstet Gynecol. 2003;189(3):892-3.