Laparoscopic management of tubal pregnancy misdiagnosed and missed by Laparotomy 35 days ago

The difficulties in the diagnosis of early ectopic pregnancy still remains. We report a case of tubal ectopic pregnancy misdiagnosed as an ovarian ectopic pregnancy 35 days ago. The patient had been operated on suspicion of ectopic pregnancy by laparotomy at a private hospital. A woman, suffering from lower abdominal pain was performed transvaginal ultrasonography (TVS) and revealed a hematoma on the right adnexial side. Laparoscopy was performed and a moderate amount of intra-abdominal hemorrhagic fluid was evident. Hematoma was observed in the ruptured right tube. Right salpingectomy was performed. Histopathologic examination of the specimen was reported to be tubal ectopic pregnancy. We conclude that misdiagnosis of ectopic pregnancy may be associated with early operative approach. The factors contributing to misdiagnosis of ectopic pregnancy are discussed and compared with those reported in other studies.