Korean J Obstet Gynecol.  2010 Jun;53(6):531-534. 10.5468/kjog.2010.53.6.531.

A case of ectopic pregnancy after total hysterectomy

• Choi SK
• Namkoong S
• Shin JC

• KMID: 2273894
• DOI: http://doi.org/10.5468/kjog.2010.53.6.531

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.

Keyword

Ectopic pregnancy; Tubal pregnancy; Hysterectomy

MeSH Terms

Abdominal Pain
Adult
Diagnosis, Differential
Emergencies
Female
Hemoperitoneum
Humans
Hysterectomy
Laparoscopy
Pregnancy
Pregnancy Tests
Pregnancy, Ectopic
Pregnancy, Tubal

Figure

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  Figure 1 Ultrasound showing the right adnexal mass containing a small cystic lesion suggesting ectopic pregnancy.

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  Figure 2 Computed tomography showing an ovoid cystic lesion in the right adnexa.

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  Figure 3 Laparoscopic findings showing (A) hemoperitoneum and (B) ruptured right tubal pregnancy.

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