title: Ectopic gestation following emergency contraceptive pill administration.
abstract: Emergency contraceptive pill prescription following rape is common. We report a case of ectopic gestation after emergency contraceptive pill failure and review the literature on this rare complication. A 26-year-old woman with a normal menstrual period 2 weeks before was administered an emergency contraceptive pill 8 hours after a single sexual assault. The assault was her only sexual activity before and after the emergency contraceptive pill use. Forty-six days following the assault, the patient presented with a right ampullary tubal pregnancy of 59 days gestation and underwent emergent surgery for ectopic gestation. To prevent a delay in the diagnosis of ectopic pregnancy, we recommend that providers and the package insert advise women, that ectopic gestation can occur with emergency contraceptive pill failure.
authors.affiliation: University of Washington School of Medicine, Seattle, WA, USA.
authors.forename: C L
authors.initials: CL
authors.lastname: Nielsen
authors.forename: L
authors.initials: L
authors.lastname: Miller
mesh_terms: D000328:Adult; D003267:Contraception; D003283:Contraceptives, Postcoital, Synthetic / Q000009:adverse effects*; D019304:Ethinyl Estradiol-Norgestrel Combination / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000209:etiology* / Q000601:surgery
chemical_list: D003283:Contraceptives, Postcoital, Synthetic; D019304:Ethinyl Estradiol-Norgestrel Combination