We report the cases of one patient with a right cornual pregnancy and one with a right interstitial pregnancy who were treated successfully with laparoscopic resection. In the patient with interstitial pregnancy, intra‐abdominal ultrasonography was used for definite diagnosis and confirmation of complete removal of gestational tissue during the operation. These two patients were discharged within 2 days and could return to work within 1 week after the procedure. For a well experienced laparoscopist, these dangerous forms of ectopic pregnancies may not be contraindications to be laparoscopic management. For cases with uncertain diagnosis before operation, the combined use of intra‐operative ultrasound is efficacious and recommended.
Chronic ectopic pregnancy is often an enigma and a correct diagnosis might not be made until surgical intervention. We report a case of a woman who had initially been treated with therapeutic abortion for an unwanted pregnancy at a private clinic. She had since suffered from persistent uterine bleeding and a negative urine pregnancy test had led to mistaken treatment for dysfunctional uterine bleeding. Chronic ectopic pregnancy was diagnosed and treated with operative laparoscopy with a satisfactory outcome. Laparoscopy may provide earlier accurate diagnosis of chronic ectopic pregnancy and the possibility of conservative management instead of salpingectomy.
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