Objective: The present study was conducted to know the various histopathological changes in the fallopian tubes with ectopic gestation and its correlation with various predisposing factors.

Material & Methods: The present study includes 100 resected specimens of fallopian tubes/tubal mass with a clinical diagnosis of ectopic tubal gestation received in the Department of Pathology, Geetanjali Medical College and Hospital, Udaipur (Raj.) in a 2 year period from December 2015 to December 2017.

Results: Most of the women were of age group 21–30 (56%). Most women presented in less than 8 weeks gestation (78%). Right side fallopian tube was involved in 64% of cases and left side in 36% of cases. 79% cases presented with ruptured pregnancy. 27% patients had history of using an intrauterine contraceptive device (IUCD). Histopathologically, majority ectopics were in ampul­la (73%) followed by fimbria (16%), interstitium (8%) and isthmus (3%).  Chronic salpingitis was found in 62% of cases, SIN in 12% of cases and acute salpingitis in 8% of cases.

Conclusion: Histopathological examination of resected fallopian tubal ectopic can provide us information about etiopathogenesis of ectopic pregnancy which can be used to prevent further ectopic pregnancy and thereby benefitting public health.