Predanic, "Differentiating
tubal abortion from viable ectopic pregnancy with serum CA-125 and [beta]-human chorionic gonadotropin determinations," Fertility and Sterility, vol.
In secondary abdominal pregnancy, a viable placenta separates from its primary implantation site as a result of
tubal abortion or rupture.
Table 1: Risk Factor Distribution Risk factor Number Percentage Previous Abortion 27 21.95 Previous Tubal Surgery 1 0.81 Previous Ectopic Pregnancy 1 0.81 PID 53 43.09 Infertility Treatment 3 2.44 IUD 7 5.69 Previous LSCS 6 4.88 No Risk Factor 25 20.33 Table 2: Event Distribution Number Percentage Tubal Pregnancy 99 80.49 Ruptured (a) 86 86.87 Unruptured (b) 11 11.11
Tubal Abortion (c) 2 2.02 Chronic Ectopic 21 17.07 Ovarian 2 1.63 Pregnancy in Rudimentary Horn 1 0.81 Table 3: Surgery Intervention Number Percentage Unilateral Total Salpingectomy 83 67.48 Partial Salpingectomy 25 20.33 Salpingostomy 8 6.50 Milking of Tube 3 2.44 Ovariotomy/Salpingo-oophorectomy 2 1.63 Cornual Resection 1 0.81 Hysterectomy 1 0.81 Fig.
On the basis of USG and surgical findings, most of the patients 35 (67.3%) had isthmo-ampullary ectopic pregnancies, 8 (15.4%) patients presented as
tubal abortion; 6 (11.5%) patients had fimbrial involvement.
Out of 33 tubal pregnancy tubal rupture was seen in 27 cases (79.41%),
tubal abortion in 4 cases (11.76%) and unruptured tubal pregnancy in (05.88%) cases.
of cases % Site Tubal 47 94 Ampulla 38 76 Isthmus 06 12 Interstitial 02 4 Fimbrial 02 4 Ovary 01 2 Secondary abdominal 01 2 Side Right 30 60 Left 20 40 Mode of termination of tubal pregnancy (n = 48) Unruptured 04 8
Tubal abortion 22 44 Tubal rupture 23 48 Pelvic pathology Adhesions 05 10 Hydrosalpinx 06 12 Corpus luteum 03 6 Pelvic haematocele 02 4 Table 5: Treatment modalities Treatment No.
