Ectopic pregnancy after hysterectomy: a review and insight into etiology and prevention

Fylstra, Donald L.

doi:10.1016/j.fertnstert.2009.03.039

Cited by 29 publications

(29 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After the review articles published by Filstra [3] and Saad Aldin [4], four cases of late ectopic pregnancies in post-hysterectomy patients have been reported, most of them after emergency postpartum hysterectomy. Table 1 shows the main characteristics of these cases [5-8].…”

Section: Introductionmentioning

confidence: 99%

Tubal ectopic pregnancy two years after laparoscopic supracervical hysterectomy

et al. 2014

View full text Add to dashboard Cite

BackgroundEctopic 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 presentationWe 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.ConclusionsEctopic 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.

show abstract

Section: Introductionmentioning

confidence: 99%

Tubal ectopic pregnancy two years after laparoscopic supracervical hysterectomy

et al. 2014

View full text Add to dashboard Cite

show abstract

“…1,2 Post-hysterectomy ectopic pregnancies are divided into 2 subtypes-early and late-on the basis of the amount of time elapsed between the hysterectomy and the pregnancy. 3 In "early" ectopic pregnancy, conception for such an occurrence has been reported to range from 29 to 96 days.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Although post-hysterectomy ectopic pregnancy is rare, it can occur, and the delayed diagnosis has disastrous complications. Any woman, who presents with an acute abdominal pain should be screened for pregnancy despite a history of hysterectomy.…”

mentioning

confidence: 99%

A case of ectopic pregnancy after total hysterectomy

Choi

Namkoong

Shin

2010

Korean J Obstet Gynecol

View full text Add to dashboard Cite

Ectopic pregnancy after total hysterectomy is a very rare event and this could be the reason for the delay in diagnosis. We report a case of a ruptured tubal pregnancy occurred after hysterectomy and diagnosed by ultrasonography, computed tomography, and laparoscopy. A 37-year-old woman visited our emergency department for evaluation of abdominal pain, 31 days after total abdominal hysterectomy. Ultrasonography and computed tomography scan showed a cystic mass on the right adnexa and a large amount of fluid collection in the pelvic cavity. The patient's urine pregnancy test was positive. Laparoscopic findings revealed a ruptured right tubal pregnancy with hemoperitoneum. Ectopic pregnancy should be included in the differential diagnosis of a patient, even after total hysterectomy has been performed.

show abstract

“…Ectopic pregnancy following hysterectomy is uncommon; total of 56 cases are reported in the literature till date [1]. It may occur early or late, even up to 12 years after hysterectomy.…”

Section: Introductionmentioning

confidence: 99%