• Fertility and sterility · Jun 2010

    Case Reports

    Is ectopic pregnancy possible after hysterectomy?

    • Savita Bansal, Manju Saini, Meena Harsh, Amrita Kaur, and Jaya Chaturvedi.
    • Department of Obstetrics and Gynaecology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttarakhand, India. savyk2000@yahoo.com
    • Fertil. Steril. 2010 Jun 1; 94 (1): 350.e5-7.

    ObjectiveTo determine whether ectopic pregnancy should be suspected in young women with abdominal pain even after hysterectomy.DesignCase report.SettingThe patient presenting with abdominal pain in the emergency department was referred to a tertiary care center.Patient(S)A young woman who had had a subtotal hysterectomy 3 years prior for atonic postpartum hemorrhage during her last caesarean section presented with acute abdominal pain.Intervention(S)Urgent ultrasound showed a gestational sac of 9 weeks + 3 days. Emergency laparotomy was done for suspected ectopic pregnancy.Main Outcome Measure(S)Ultrasound, operative findings, and histopathology.Result(S)Tubal ectopic pregnancy was confirmed on laparotomy and histopathology.Conclusion(S)Early suspicion can avoid missing early and treatable ectopic gestation before life-threatening complications develop.Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

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