Rare Non Tubal Ectopic Pregnancies in a Tertiary Care Hospital

Abstract Non-tubal ectopic pregnancies (NT-EPs) are infrequent yet potentially life-threatening conditions, with an incidence scaling from 5–8.3% of all ectopic pregnancies. In this observational descriptive study, seven cases of non-tubal ectopic pregnancies were identified among 36,396 deliveries that occurred between July 2019 and June 2023. Demographic information, symptoms, β-hCG levels, ultrasound detections, management approaches, and treatment results of patients were presented. This study includes two cases of rudimentary horn ectopic treated with resection of the rudimentary horn, a case of cervical pregnancy treated with suction evacuation after ligation of descending cervical arteries and placement of Foley's balloon tamponade after medical treatment, a case of ovarian pregnancy treated with oophorectomy, a case of cesarean scar pregnancy managed with excision of ectopic sac preserving the uterus, another case hysterectomy was needed, and a case of interstitial pregnancy treated with surgical resection of ectopic and suturing the site keeping surgical for strength after failed medical treatment with Methotrexate 2 doses. This manuscript summarizes the experience of a single centre in managing NT-EPs and the diversity of management in different types of non-tubal ectopic pregnancies, emphasizing the importance of a high index of suspicion to enable appropriate treatment, thereby reducing mortality and maternal morbidity and preserving future fertility.