Email updates

Keep up to date with the latest news and content from BMC Women's Health and BioMed Central.

Open Access Case report

Tubal ectopic pregnancy two years after laparoscopic supracervical hysterectomy

Emilia Villegas1, Ernesto González-Mesa1*, María José Benítez1, Sergio Luna1, Cristina Gómez1, Aurelia Marsac1 and Jesús Jiménez2

Author Affiliations

1 Obstetrics and Gynecology Research Group. IBIMA. Málaga University. School of Medicine. Málaga University Hospital, Málaga, Spain

2 Obstetrics and Gynecology Department, 12 de Octubre University Hospital, Madrid, Spain

For all author emails, please log on.

BMC Women's Health 2014, 14:69  doi:10.1186/1472-6874-14-69

Published: 24 May 2014

Abstract

Background

Ectopic 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 presentation

We 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.

Conclusions

Ectopic 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.

Keywords:
Ectopic pregnancy; Tubal pregnancy; Hysterectomy; Laparoscopic hysterectomy; Hemoperitoneum; Adnexal mass