Cases of ectopic pregnancies clinically and histopathologically confir
med and managed in the King Khalid University Hospital (KKUH) over a f
ive year period are presented. With a prevalence rate of 6.9 per 1000
deliveries, ectopic pregnancy was depicted as not so common in this re
gion of the world, although there has been a rising trend of the condi
tion over the years. Of the risk factors, infertility treatment (19.7%
), use of IUCD (10.9%), PID (8.7%) and chlamydia infections (2.9%) wer
e found to be associated. However, there may be a need for nationally
based as well as case controlled studies to evaluate the risk factors
in this major gynecological catastrophy which is often associated with
a high maternal morbidity and mortality, pregnancy wastage and impair
ment of fertility.