Other than tubal location, where can ectopic pregnancies occur?
Tubal ectopic pregnancies make up 95% of ectopic pregnancies. Other locations include ovarian, cervical, cesarean scar and abdominal pregnancy. A heterotopic pregnancy occurs when intrauterine and extrauterine pregnancies occur simultaneously, this is a rare phenomenen but may be associated with assisted reproduction techniques.
As part of a hysterosalpingogram the cervix was cannulated and contrast filled a normal shaped endometrial cavity. There are no filling defects within the uterine cavity and the outline is smooth and regular. Multiple nodular diveriticulae are identified along the isthmal portion of the right fallopian tube. No peritoneal spill was seen on this side.
Contrast flowed freely down the left fallopian tube with prompt spill into the peritoneum.
Findings suggest salpingitis isthmica nodosa of the right fallopian tube with possible tubal occlusion. The left fallopian tube is patent and the uterus appears normal.