Publication:
Tubal ectopic pregnancy two years after laparoscopic supracervical hysterectomy.

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Date

2014-05-24

Authors

Villegas, Emilia
González-Mesa, Ernesto
Benítez, María José
Luna, Sergio
Gómez, Cristina
Marsac, Aurelia
Jiménez, Jesús

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BioMed Central
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Abstract

BACKGROUND Ectopic pregnancy after hysterectomy is a very rare condition, but it must be kept in mind in women with history of hysterectomy who present with abdominal pain and ecographic adnexal heterogeneous images. Since first described by Wendeler in 1895, at least 67 ectopic pregnancies (tubal, ovarian and abdominal) have been described in patients subjected to prior hysterectomy. CASE PRESENTATION We describe the case of a 41-year-old white caucasian woman admitted to the emergency room due to abdominal pain for two days. The ultrasounds scan and the quantification of beta-HCG led to the diagnosis of tubal ectopic pregnancy, although she had been hysterectomized two years before. An emergency laparoscopy was performed for salpingectomy. The pathology report indicated trophoblastic tubal implantation and hematosalpinx. CONCLUSIONS Ectopic pregnancy is one of the conditions to be considered in the differential diagnosis of abdominal pain in women of child bearing potential, and the absence of the uterus does not rule out its diagnosis.

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Case Reports; Journal Article;

MeSH Terms

Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Urogenital Surgical Procedures::Gynecologic Surgical Procedures::Hysterectomy
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Surgical Procedures, Minimally Invasive::Endoscopy::Laparoscopy
Medical Subject Headings::Phenomena and Processes::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproductive Physiological Processes::Reproduction::Pregnancy
Medical Subject Headings::Diseases::Female Urogenital Diseases and Pregnancy Complications::Pregnancy Complications::Pregnancy, Ectopic::Pregnancy, Tubal
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult

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Keywords

Ectopic pregnancy, Tubal pregnancy, Histerectomy, Laparoscopic hysterectomy, Hemoperitoneum, Adnexal mass, Histerectomía, Laparoscopia, Embarazo tubario

Citation

Villegas E, González-Mesa E, Benítez MJ, Luna S, Gómez C, Marsac A, et al. Tubal ectopic pregnancy two years after laparoscopic supracervical hysterectomy. BMC Womens Health. 2014; 14:69