Rationale: Eclampsia, an obstetric emergency frequently seen in pregnant or puerperal women, is a risk factor for posterior reversible encephalopathy syndrome (PRES). Most cases of eclampsia occur postpartum. We report a woman with PRES associated with eclampsia 10 weeks post-delivery, the latest onset ever reported. Patient concerns: A 23-year-old healthy woman presented headache and nausea 10 weeks after delivery. Two days later, she generalized tonic-clonic seizure. Her brain MRI presented the foci which is typical of PRES. Diagnosis: The patient was diagnosed as PRES associated with eclampsia. Interventions: The patient received levetiracetam and edaravone. Outcomes: Her clinical course was uneventful and she fully recovered without neurological complications Lessons: The possible diagnosis of late onset postpartum eclampsia, even weeks post-delivery, should be considered, since initiation of early treatment averts severe complications and decreases mortality. Sharing our experience may increase awareness of PRES induced by late-onset postpartum eclampsia.

Case Report: A persistent ectopic pregnancy (PEP) refers to the continuation of trophoplastic growth after a surgical intervention to remove an ectopic pregnancy. After a conservative procedure that attempts to avoid a salpingectomy of the affected fallopian tube, trophoblastic tissue may remain. In about 3-20% of these cases, the major portion of the ectopic growth is removed, but some trophoblastic tissue escapes removal and continues to grow, generating a new rise or prolongation of hCG levels. We report here a rare case of PEP after a salpingectomy. The patient was a 22-year-old woman who was referred to our hospital for a suspected ectopic pregnancy. We performed emergent laparoscopic salpingectomy, and followed up on hCG revels and ultrasonography as an outpatient. On the 38th postoperative day, she was transported to our hospital by ambulance; she was in shock and suffering severe abdominal pain from intraabdominal bleeding. We performed the second emergent laparoscopic surgery, and bleeding from the severed end of the fallopian tube was present. We excised the residual fallopian tube. Trophoblastic tissue was identified in the specimen, and PEP was confirmed via pathological examination.