Live normally sited pregnancy with concurrent residual tubal ectopic pregnancy: A case report

Abstract

Expectant management of ectopic pregnancy employs regular monitoring of serum β-hCG levels until pregnancy testing is negative and the patient is asymptomatic. Although not routinely assessed in clinical practice, physical resolution of ectopic pregnancy can be determined via direct visualisation on transvaginal ultrasound. This report concerns the case of a woman in her late 20s who was managed expectantly for a right tubal ectopic pregnancy. Biochemical resolution was achieved 28 days from initial presentation. She was followed up with serial transvaginal ultrasound scans, as per unit protocol. During her follow-up, she conceived and transvaginal ultrasound scans showed a concurrent live normally sited pregnancy alongside the residual right tubal ectopic pregnancy. In view of this, she was followed up regularly until 13 + 0 weeks into her current pregnancy, when the residual ectopic pregnancy was no longer visualised.