Abstract: Introduction: Chronic ectopic pregnancy (CEP) has low serum HCG and methotrexate tolerance (MTX). CEP complicates EP therapy. It may resolve spontaneously. Histologically, CEP has a compact adnexal mass with degraded chorionic villi, necrosis, and many blood clots from repeated small fallopian tube wall ruptures. CEP with asymptomatic pelvic mass and low serum hCG.
Methods: Dr. Rajendra Prasad Government Medical College in Tanda's Department of Obstetrics & Gynecology performed this prospective observational research on pregnant women with chronic ectopic pregnancies after protocol review committee and institutional ethics committee approval. All eligible prenatal clinic and labour room patients were studied from February 2020 to January 2021. Prenatal clinic and labour room patients with clinical features and repeated chronic ectopic pregnancy diagnosis were included after written informed permission.
Results: Beta-HCG concentrations of 3000-5000 mIU/ml (20%), less than 1500 mIU/ml (3 instances), and more than 5000 mIU/ml (1 case) were found (1 cases). Hemoglobin ranged from 7 to 10 g/dl in all individuals. The most common locations for ectopic pregnancy were the ampulla (80%) and fimbria (20%). (7 cases). In four out of the eighty percent of cases of prolonged ectopic pregnancy, surgical salpingectomy was done. Blood transfusions were required for five individuals with persistent ectopic pregnancy. One unit of blood was given to 60% (3 cases), two units to 20% (1 case each), and three units to 20%.
Conclusion: It is rare for a persistent ectopic pregnancy to be misdiagnosed before surgery. If a young multiparous woman with AUB and abdominal pain has an ultrasound that shows a heterogeneous mass in the POD and/or adnexa with no internal vascularity on CD, persistent ectopic pregnancy should be the first diagnosis.
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