Ectopic pregnancy (EP) is a life-threatening pregnancy complication and can cause maternal morbidity and mortality and early fetal death with the incidence rate of approximately 2% of all pregnancies. The rate of recurrence of EP increases in patients with a past history of EP. We present here two cases that have had three consecutive recurrent EPs during one year with different management.
Case 1: A 27-year-old woman gravida 3 Ep2 with 6 weeks gestational age was referred with abdominal pain. She had a history of two consecutive ectopic pregnancies 9 and 4 months ago that were treated with methotrexate (MTX) and right salpingectomy. Transvaginal ultrasonography showed left tubal ectopic pregnancy with intra-abdominal bleeding. Left salpingectomy was performed. Case 2: A 34-year-old women gravid 3 with a history of 2 consecutive Ep 11 and 6 months ago that were treated with left salpingectomy and MTX, was referred. She was treated with two doses of MTX.
The rate of recurrent EP considerably rises in patients with a history of the previous EP and considering this medical history is highly recommended in future pregnancies for early diagnosis
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