Diagnostic surprises in early pregnancy: two case reports

Abstract

Early pregnancy poses diagnostic challenges to the clinician in developing countries because of lack of early antenatal check-up and lack of ultrasound use in first trimester. Extrauterine pregnancies are rare and mostly tubal. Non tubal ectopic pregnancies are still rarer and most often surprise the surgeons intraoperatively. Here two such cases are reported, of women presenting with acute abdomen, no significant period of amenorrhea and no specific risk factors for ectopic pregnancy. First is an ovarian pregnancy managed conservatively by wedge resection. Second is a case of cornual pregnancy managed by cornual resection and uterine repair.