Meet the editor

Julio Elito Junior, PhD., graduated in Medicine from Federal University of São Paulo (UNIFESP) - Brazil (1989). He obtained his Master in 1995 and his Doctorate in 1997 both from UNIFESP. He is a specialist in laparoscopy and reproductive medicine. Due to the relevance of his research, he obtained the title of Associate Professor of the Department of Obstetrics of UNIFESP (2006). He has published several articles about medical treatment in ec-

topic pregnancy. He has published articles on non-tubal ectopic pregnancy (cervical pregnancy, cesarean scar pregnancy, and intraligamentary abdominal pregnancy). He has published several articles in international journals. He is the reviewer in several international journals and has presented at a number of national and international congresses. He wrote the book "Ectopic Pregnancy" (2010), as well as numerous chapters in national and international books. He is editor of the book "Multiple Pregnancy: New Challenges" published by IntechOpen (2019). He has been nominated several times as Honored Professor by his students at the Medical School of Federal University of São Paulo (UNIFESP).

Contents

**Section 1**

*by Julio Elito Jr*

**Section 2**

**Section 3**

*and Eduardo de Souza*

and Cervical Pregnancy

Caesarean Scar Ectopic Pregnancy *by Workineh Getaneh Tadesse*

Non-tubal Ectopic Pregnancy

*by Aliye Nigar Serin and Özer Birge*

**Preface III**

Introduction **1**

**Chapter 1 3**

Epidemiology **19**

**Chapter 2 21**

Diagnosis and Management **35**

**Chapter 3 37**

**Chapter 4 55**

**Chapter 5 63**

**Chapter 6 79**

A Minimally Invasive Hemostatic Strategy for Cesarean Scar Pregnancy

*by Satoru Takeda, Jun Takeda, Takashi Yorifuji and Taro Koshiishi*

Introductory Chapter: An Overview of the Diagnosis and Treatment of

Non-tubal Ectopic Pregnancy: Incidence and Diagnosis

Non-tubal Ectopic Pregnancy: Diagnosis and Management

*by Rubens Bermudes Musiello, Jair Luiz Fava, Luiz Camano* 

*by Adebayo A. Adeniyi and Christopher A. Enakpene*

Cervical Pregnancy Diagnosis and Management

## Contents


#### **Chapter 7 95**

Broad Ligament Pregnancy *by Stelios Fiorentzis, Theodoros Margetousakis, Chrysostomos Georgellis, Pantelis Kotridis, Dimitra Oikonomopoulou, Alexandros Karamperis, Georgia Karamperi-Sotiropoulou and Dionysios Karavyrakis*

Preface

The idea of this book came about due to the increasing number of case reports in the medical literature on non-tubal ectopic pregnancies, which is mainly due to the increased number of cesarean sections and assisted reproduction. There is no consensus in the literature about the best treatment, therefore non-tubal ectopic pregnancy is still a challenge for obstetricians. Innumerous innovations in the diagnosis and management of non-tubal ectopic pregnancies have occurred in the recent years and this book offers an immersion on the subject. Throughout the book the reader is invited to visit the most important issues related to non-tubal ectopic

Non-tubal ectopic pregnancies presents serious complications, which are greater than in tubal pregnancies. Therefore, the maternal morbidity and mortality are higher. Due to this, an early diagnosis is crucial for the best result of the treatment.

In the various chapters, the authors contemplate the management of different types of non-tubal ectopic pregnancies such as cervical, interstitial, cesarean scar, ovarian, and abdominal pregnancy to which several modalities of treatment are presented: surgery, local treatment with methotrexate, systemic treatment with MTX, embolization, and specific treatments for the different sites of non-tubal

The book presents the most relevant aspects of the non-tubal ectopic pregnancy scenario. Authors from all over the world who have contributed to this book are

Our intention is for the reader to be presented with the latest updates on non-tubal

I would like to thank my wife, Camila, and our children, João and Pedro, for their support, understanding, and love during the journey to complete this mission that

Associate Professor of the Department of Obstetrics at Federal

**Julio Elito Jr.**

University of São Paulo, São Paulo, Brazil

experts in their areas and offer readers the best from their research.

will help women with non-tubal ectopic pregnancy all over the world.

In this book we present the challenges and pitfalls for diagnosis.

pregnancies.

pregnancy.

ectopic pregnancies.
