• Donald L Fylstra.
• Department of Obstetrics and Gynecology, Medical University of South Carolina, 96 Jonathan Lucas Street, CBS 634F, Charleston, SC 29425, USA. fylstrad@musc.edu
• J Reprod Med. 2009 Oct 1; 54 (10): 649-51.

BackgroundPregnancy after hysterectomy is very rare, with fewer than 40 cases reported in the English-language literature. The majority of cases are diagnosed in the early posthysterectomy, postoperative period, indicating that the pregnancy was present at the time of hysterectomy. Cases diagnosed remotely from the time of hysterectomy result from a fistulous tract allowing sperm access to the peritoneal cavity.CaseA 37-year-old woman 6 years since a supracervical cesarean hysterectomy was treated for a ruptured ovarian pregnancy.ConclusionA woman with intact ovaries presenting with abdominal pain, despite a prior hysterectomy, should be considered at risk for ectopic pregnancy. The presence of a cervix may increase that risk.

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