International Journal of Research and Reports in Gynaecology

Ectopic pregnancy should always be suspected and ruled out with a carefully done early trimester ultrasound in women with risk factors of ectopic pregnancy especially history of previous ectopic pregnancy. With the advent of transvaginal ultrasound, the ectopic pregnancies are rarely missed and managed before advancing to higher gestation. Although abdominal and cornual pregnancies are reported to reach higher gestations, few tubal pregnancies are reported to reach advanced gestation. As these advanced tubal pregnancies are still rare, we report this case of a woman with previous tubal ectopic whose present tubal ectopic pregnancy was missed despite an early ultrasound. The patient was provisionally diagnosed to have an abdominal or cornual pregnancy pertaining to clinical presentation and radiological findings but preoperatively confirmed to have an advanced tubal ectopic pregnancy of 15 weeks 4 days which was managed surgically.