Unexpected outcome after expectant management of ectopic pregnancy in two persons

Background: ectopic pregnancy is one of the main problems in women in reproductive age that needs special attention and appropriate strategy should be managed. in some cases expectant management seems good strategy without any medicine or surgery and their possible side effects. but are the outcomes always the same? which outcomes should we expect?case: we have reported 2 patients whose ectopic pregnancy had been managed conservatively and they had sustained pain for several months which needed surgery to resolve.conclusion: in the case of ectopic pregnancy, it is important for the clinician to select the patient meticulously and be aware of common and rare consequences of her treatment.