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Is ectopic pregnancy possible after hysterectomy?
Savita Bansal1, Manju Saini, Meena Harsh
1Department of Obstetrics and Gynaecology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttarakhand, India. savyk2000@yahoo.com
Objective:
To determine whether ectopic pregnancy should be suspected in young women with abdominal pain even after hysterectomy.
Design:
Case report.
Setting:
The patient presenting with abdominal pain in the emergency department was referred to a tertiary care center.
Patient(S):
A young woman who had had a subtotal hysterectomy 3 years prior for atonic postpartum hemorrhage during her last caesarean section presented with acute abdominal pain.
Intervention(S):
Urgent ultrasound showed a gestational sac of 9 weeks + 3 days. Emergency laparotomy was done for suspected ectopic pregnancy.
Main Outcome Measure(S):
Ultrasound, operative findings, and histopathology.
Result(S):
Tubal ectopic pregnancy was confirmed on laparotomy and histopathology.
Conclusion(S):
Early suspicion can avoid missing early and treatable ectopic gestation before life-threatening complications develop.
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