Secondary abdominal appendicular ectopic pregnancy

• DOI: 10.1016/j.jmig.2007.02.005
• Publication Date: 2007-07-13T11:28:09Z
• Authors: Vivek Nama; Bright Gyampoh; Mahantesh Karoshi; Reynold McRae; Isaac Opemuyi
• Keywords: Adult; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Pregnancy; Pregnancy, Abdominal; Appendectomy; Humans; Female; Laparoscopy; Appendix; 3. Good health

Although the case fatality rate for ectopic pregnancies has decreased to 0.08% in industrialized countries, it still represents 3.8% of maternal mortality in the United States alone. In developing countries, the case fatality rate varies from 3% to 27%. Laparoscopic management of tubal pregnancies is now the standard form of treatment where this technology is available. Abdominal pregnancies are rare, and secondary implantation of tubal ectopic pregnancies is the most common cause of abdominal gestations. We present an interesting case of secondary implantation of a tubal ectopic pregnancy to highlight the appendix as a possible secondary implantation site after a tubal ectopic pregnancy.