A case of ectopic pregnancy after total hysterectomy.

Choi, Sae Kyung; Namkoong, Sung Eun; Shin, Jong Chul

doi:2010.53.6.531

Obstet Gynecol Sci > Volume 53(6); 2010 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2010;53(6):531-534.
DOI: https://doi.org/10.5468/kjog.2010.53.6.531 Published online June 1, 2010.

A case of ectopic pregnancy after total hysterectomy.

Sae Kyung Choi, Sung Eun Namkoong, Jong Chul Shin

Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea. jcshin@catholic.ac.kr

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.

Key Words: Ectopic pregnancy, Tubal pregnancy, Hysterectomy