A rare type of intact large ampullary pregnancy of alive fetus

Abstract

Ectopic tubal pregnancy is a very rare to progress intact with alive fetus at 12 weeks gestation. The most
reported cases of intact tubal pregnancy is between nine to ten weeks gestation. We report a woman of 36 years old
from Shihr city, Hadramout governorate, G7P5+1 with previous history of cesarean section complaining from
amenorrhea 12 weeks, left iliac fossa pain, slight intermittent vaginal bleeding associated with nausea and vomiting.
Transabdominal ultrasonography revealed empty uterine cavity with single alive fetus about 12 weeks gestation in
the left adnexa with well developed placenta and no hemoperitoneum. Laparotomy left salpingectomy of ampullary
ectopic pregnancy was done. Intact tubal pregnancy is very rare to diagnose at longer duration of gestation so timely
diagnosis and treatment helps to decrease the maternal complications.