Article ; Online: Ectopic pregnancy 6 years after subtotal hysterectomy: A case report.
Journal of gynecology obstetrics and human reproduction
2018 Volume 47, Issue 2, Page(s) 95–97
Abstract: Background: Only 57 cases of ectopic pregnancy after hysterectomy have been published.: Case report: A 34-year-old patient with a history of subtotal hysterectomy for postpartum hemorrhage consulted for acute abdominal pain. The diagnosis of ectopic ... ...
Abstract | Background: Only 57 cases of ectopic pregnancy after hysterectomy have been published. Case report: A 34-year-old patient with a history of subtotal hysterectomy for postpartum hemorrhage consulted for acute abdominal pain. The diagnosis of ectopic pregnancy was made using blood pregnancy test and transvaginal ultrasound. Emergency laparoscopy was performed. Conclusion: Urine pregnancy test should be performed in case of unexplained haemoperitoneum in patient of childbearing age with a history of hysterectomy. Fistulous tracts between the patent cervix or the vaginal cuff and the peritoneal cavity may allow fecundation. TEACHING POINTS: (1) Ectopic pregnancy remains a differential diagnosis of abdominal pain and haemoperitoneum in patient of childbearing age even after hysterectomy. (2) Fistulous tract between the residual cervix and the peritoneal cavity or tubes may allow fecundation. |
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MeSH term(s) | Adult ; Female ; Humans ; Hysterectomy ; Laparoscopy ; Pregnancy ; Pregnancy, Ectopic/blood ; Pregnancy, Ectopic/diagnosis ; Pregnancy, Ectopic/diagnostic imaging ; Pregnancy, Ectopic/surgery |
Language | English |
Publishing date | 2018-02 |
Publishing country | France |
Document type | Case Reports ; Journal Article |
ISSN | 2468-7847 |
ISSN (online) | 2468-7847 |
DOI | 10.1016/j.jogoh.2017.11.007 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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