Ectopic pregnancy is the commonest cause of maternal mortality in the first trimester. There is increased incidence of ectopic pregnancy in recent times due to increased use of Assisted Reproductive Technology, early diagnosis due to ultrasonography. OBJECTIVES: To find out the incidence, various risk factors associated with ectopic pregnancy, and its outcome. MATERIAL AND METHODS: In this retrospective study 31 cases of ectopic pregnancy admitted were studied during a period of 3 years from 2011-2013 in Mandya Institute of Medical Sciences, Mandya. Various risk factors associated with ectopic pregnancy like post tubal sterilization, History of previous ectopic pregnancy, Pelvic Inflammatory Disease and tubal recanalization were analyzed among the 31 cases. Various clinical presentations based on the symptoms like pain abdomen, bleeding per vagina and site of ectopic pregnancies and its outcome like tubal rupture, tubal abortion or chronic ectopic pregnancies and its management was studied. RESULTS: There were 31 ectopic pregnancies in the study with an incidence of about 1 in 500 , ectopic pregnancies were common among the age group of 20-25 years, post tubectomy was the single most risk factor, accounting for about 35.48%, 19 cases (61.29%) presented with pain abdomen, whereas 9 cases (29.05%) had pain abdomen followed by bleeding per vagina. 58.06% of the ectopic pregnancies were ampullary pregnancies followed by 32.25% of isthmic pregnancies.25 cases (80.64%) presented with ruptured ectopic pregnancies followed by 4 (12.90%) cases of tubal abortion and 2 cases of chronic ectopic (6.45%). Salpingectomy was performed in 15 cases (48.38%) followed by salpingo-opherectomy in 12 cases (38.7%). CONCLUSION: Ectopic pregnancy still remains an important cause for maternal morbidity and mortality. However early diagnosis and early intervention depending upon the availability of facilities and skilled personnel can result in reduced morbidity and mortality.

Endometriosis is a common gynaecological condition. It can pose a diagnostic dilemma when presented as endometriosis in the scar. This is a rare disease entity. We discuss a case of abdominal wall endometriosis following caesarean section.

Post coital vaginal tear or rupture is a well known entity to the gynecologist .Coitusinduced vaginal tear in a parous woman with no prior pelvic surgery or other risk factors is a rare clinical presentation. Here we present a case of Post coital vaginal tear which presented as a life threatening emergency. INTRODUCTION: Non obstetric vaginal lacerations differ greatly from lacerations sustained during childbirth and are generally classified into two types. The first type is relatively minor and is associated with normal sexual intercourse. These lacerations usually resolve with minimal treatment. The second type of laceration is deeper and more extensive, often resulting in significant vaginal bleeding. This condition can be life threatening and requires immediate intervention CASE PRESENTATION: Mrs. XX, 30 years old lady, P2L2, presented with the complaints of excessive bleeding per vagina since 4 hours to emergency OBG ward at night. She gives h/o passage of clots and had changed about 3 to 4 clothes which was fully soaked .Her previous menstrual cycles were regular 3-4 days/30 days LMP: day 1. She had both FTND at government hospital, P1-male 9 years, p2-female 6 years. She had undergone laparoscopic sterilization 6 year back. On General physical examination-she was moderately built and nourished and severely anaemic. Her Pulse rate was 120 bpm, feeble, low volume, and BP-systolic was 80 mm Hg, Her tongue was dry , extremities were cold, and tachypnea-20/min was present. Per Abdomen Examination was soft and non tender, and there was no organomegaly. Per Speculum examination revealed an Annular tear about 4 cm present at the cervicovaginal junction posterolaterally on the right side. On Bimanual examination Uterus was anteverted, normal in size, firm, mobile, fornices free and non tender.

Primary ovarian pregnancy is one of the rarest varieties of ectopic pregnancies. Pelvic pain, amenorrhea & vaginal bleeding are the foremost classical symptoms found in these cases. Here we report a case of ruptured primary ovarian pregnancy suspected intra operatively & later confirmed by histopathological report.

ABSTRACT:Bilateral ovarian torsion is a rare event with only a few cases reported in literature in women using ovarian stimulation drugs and in pre-menarchal age group with synchronous and asynchronous ovarian tumors. We hereby present a case of bilateral ovarian torsion in a 16 year old girl who presented as an acute pain abdomen and was diagnosed intra operatively.