Vaginal management of a "late" ectopic pregnancy after vaginal hysterectomy
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Dalmo Borges Ramos1, Newton Eduardo Busso, Cristiano Eduardo Busso
1Clinica Ginecológica Dr Dalmo Borges Ramos, São Paulo, Brazil.
Objective:
To describe the first vaginal approach to an ectopic pregnancy after hysterectomy.
Design:
Case report.
Setting:
Private hospital.
Patient(S):
A 38-year-old woman presenting with an ectopic pregnancy 5 months after having a vaginal hysterectomy due to uterine myomatosis.
Intervention(S):
Vaginal adnexectomy.
Main Outcome Measure(S):
Vaginal surgery as a plausible approach for this very particular situation (ectopic pregnancy in hysterectomized patient).
Result(S):
After vaginal surgery with removal of the left tube (containing a gestacional sac) and ovary, the patient fully recovered.
Conclusion(S):
Vaginal surgery can be a safe option for ectopic pregnancy resolution in noncomplicated cases.
