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KMID : 0358420100530060531
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Korean Journal of Obstetrics and Gynecology
2010 Volume.53 No. 6 p.531 ~ p.534
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A case of ectopic pregnancy after total hysterectomy
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Choi Sae-Kyung
Shin Jong-Chul
Namkoong Sung-Eun
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Abstract
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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.
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KEYWORD
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Ectopic pregnancy, Tubal pregnancy, Hysterectomy
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