Pregnancies in Unusual Places

• This video presents a review of 645 cases in the literature using 28 different treatment approaches, including 89 misdiagnoses and 245 severe complications, many ending with laparotomies and hysterectomies. Our own experience with 24 such pregnancies and successful and uncomplicated local intragestational puncture injections of methotrexate with transvaginal sonographic guidance are included. The learner attributes are patient care, medical knowledge, and practice-based learning and improvement.