Laparoscopic treatment of recurrent ectopic pregnancy in the ipsilateral salpinx after ovulation induction and intrauterine insemination

Janbakhishov, Turab; Doğan, Sait Murat; Dogan, Erbil

doi:10.1016/j.tjog.2013.10.020

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…However, that case was situated nearer to the interstitial segment of the fallopian tube and was characterized as a recurrent ectopic pregnancy within the fallopian tube. 13 This phenomenon can be explained by two theories. 14 The first theory suggests that a fertilized ovum could migrate from the intact right fallopian tube, across the endometrial cavity, to the proximal stump of the salpinx on the opposite side, a process known as internal migration of the fertilized ovum.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Ectopic Tubal Pregnancy After Partial Salpingectomy

Fei,

Yin,

Guo

et al. 2024

IJWH

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Objective To report a rare case of spontaneous ectopic pregnancy (EP) after partial salpingectomy treated by laparoscopy. Case Report A 30-year-old gravida 1 para 0 woman with a history of left adnexectomy, due to left ovarian torsion 13 years ago, was referred to our hospital. She had experienced lower abdominal pain for 1 day and amenorrhea for 1 week. Transvaginal ultrasonography did not reveal an intrauterine pregnancy, but showed a suspected extrauterine gestational sac on the left adnexal area. The patient was diagnosed with ectopic pregnancy, and laparoscopy was performed. During the operation, we found a gestational sac on the left fallopian tube stump. Conclusion The most significant risk factors for ectopic pregnancy (EP) are previous procedures and conditions that cause tubal injury. Therefore, it is necessary to be alert to the occurrence of the disease even if there is a history of tubal resection and ensure no part of the fallopian tube is left behind during removal.

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Section: Discussionmentioning

confidence: 99%

“…This is called the theory of external migration. 13 , 14 It is certain that even the fallopian tube stump still retains physiological function. As such, recurrent ectopic pregnancy is more likely following partial salpingectomy than total salpingectomy.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Ectopic Tubal Pregnancy After Partial Salpingectomy

Fei,

Yin,

Guo

et al. 2024

IJWH

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“…Furthermore, there has only been one report about three consecutive surgically managed ipsilateral ectopic pregnancies [8]. Three hypotheses regarding the mechanisms responsible for recurrent ectopic pregnancies after ipsilateral salpingectomy have been proposed: contralateral fertilized egg migration across the endometrium to the remnant fallopian tube, contralateral fertilized egg trans-peritoneal passage through the contralateral intact fallopian tube, and recanalization of the tubal remnant [5, 8, 9]. In some cases of recurrent ectopic pregnancy brought about by natural conception after ipsilateral salpingectomy, it might be necessary to preserve the normal contralateral tube, as seen in our case.…”

Section: Discussionmentioning

confidence: 99%

A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube

Iwahashi

Deguchi

Horiuchi

et al. 2017

Case Reports in Obstetrics and Gynecology

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Recurrent ectopic pregnancy in a remnant fallopian tube after ipsilateral salpingectomy is clinically rare. We report the extremely rare case of a third recurrent ectopic pregnancy after two previous salpingectomy procedures involving the opposite tube. A 26-year-old woman, gravida 3 para 0, experienced three ectopic pregnancies brought about by natural conception, all of which were treated surgically (right partial salpingectomy, right remnant tube resection, and left total salpingectomy). During the two salpingectomy procedures involving the right tube, the patency of the intact left tube was intraoperatively confirmed with indigo carmine. The most appropriate surgical intervention should be discussed when managing recurrent ectopic pregnancies. It might be necessary to perform total salpingectomy to reduce the risk of future recurrence on the remaining tube.

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