A case of ectopic pregnancy after total hysterectomy.
10.5468/kjog.2010.53.6.531
- Author:
Sae Kyung CHOI
1
;
Sung Eun NAMKOONG
;
Jong Chul SHIN
Author Information
1. Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea. jcshin@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Ectopic pregnancy;
Tubal pregnancy;
Hysterectomy
- MeSH:
Abdominal Pain;
Adult;
Diagnosis, Differential;
Emergencies;
Female;
Hemoperitoneum;
Humans;
Hysterectomy;
Laparoscopy;
Pregnancy;
Pregnancy Tests;
Pregnancy, Ectopic;
Pregnancy, Tubal
- From:Korean Journal of Obstetrics and Gynecology
2010;53(6):531-534
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ectopic pregnancy after total hysterectomy is a very rare event and this could be the reason for the delay in diagnosis. We report a case of a ruptured tubal pregnancy occurred after hysterectomy and diagnosed by ultrasonography, computed tomography, and laparoscopy. A 37-year-old woman visited our emergency department for evaluation of abdominal pain, 31 days after total abdominal hysterectomy. Ultrasonography and computed tomography scan showed a cystic mass on the right adnexa and a large amount of fluid collection in the pelvic cavity. The patient's urine pregnancy test was positive. Laparoscopic findings revealed a ruptured right tubal pregnancy with hemoperitoneum. Ectopic pregnancy should be included in the differential diagnosis of a patient, even after total hysterectomy has been performed.
