Laparoscopic management of a case of chronic ectopic pregnancy that had been treated as dysfunctional uterine bleeding

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.