Fourth Consecutive Ectopic Pregnancy- Beating the previous number

Recurrent ectopic pregnancy is not very uncommon. There are few case reports of consecutive three ectopic pregnancies. We present an interesting case of 26 years old patient who presented with consecutive fourth ectopic pregnancy which is not reported in literature. In this patient, for the first ectopic pregnancy left salpingectomy and for the second ectopic pregnancy, laparotomy followed by conservative surgical treatment (milking of right fallopian tube) was done three and two and half years ago respectively. Third ectopic pregnancy was managed medically by giving one intramuscular injection of 50 mg of methotrexate. Present one was fourth ectopic in right fallopian tube for which, patient was given medical treatment (intra muscular methotrexate) and she was advised to undergo in vitro fertilization.