• J Ultrasound Med · Jul 2008

    Case Reports

    Ruptured ectopic pregnancy presenting 3 years after supracervical hysterectomy.

    • Sarkis Babikian, David C Thoma, and Bryan D Berkey.
    • Department of Radiology, Tripler Army Medical Center, Honolulu, Hawaii, USA. s8sbabikian@usuhs.mil
    • J Ultrasound Med. 2008 Jul 1; 27 (7): 1087-90.

    AbstractAn ectopic pregnancy after a hysterectomy is a rare event, with about 40 reported cases since it was first identified by Wendeler in 1895. There are even fewer cases reported of an ectopic pregnancy occurring years after a hysterectomy has been performed. This case illustrates the sonographic and computed tomographic (CT) findings in the setting of abdominal pain in a woman of childbearing age and highlights the need to obtain a urine pregnancy test as part of the workup for abdominal pain in women, even if a history of a hysterectomy has been given. Many providers may automatically exclude an ectopic pregnancy as a possibility in the aforementioned clinical scenario if the patient has a history of a hysterectomy. Such automatic exclusion may result in life-threatening consequences.

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