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Recurrent viable ectopic pregnancy in the salpingectomy stump
1Northern Beaches Maternity Manly Hospital Manly New South Wales 2065 Australia.
Australasian Journal of Ultrasound in Medicine
|February 14, 2017
Summary
Ectopic pregnancy can occur in the remaining tube stump even after a total salpingectomy. This rare event necessitates careful diagnosis in women with a history of ipsilateral tubal removal.
Area of Science:
- Reproductive Medicine
- Gynecology
- Surgical Outcomes
Background:
- Total salpingectomy is a surgical procedure to remove the fallopian tube.
- Ipsilateral ectopic pregnancy is pregnancy occurring in the same side as the removed tube.
- Ectopic pregnancies are rare after salpingectomy due to theoretical absence of the fallopian tube.
Observation:
- A case of spontaneous ectopic pregnancy was diagnosed.
- The pregnancy was located in the stump of the previously removed fallopian tube.
- This occurred on the same side (ipsilateral) as the prior salpingectomy.
Findings:
- Ectopic pregnancy occurred despite complete removal of the ipsilateral fallopian tube.
- The pregnancy was found within the residual tubal stump.
- This challenges the assumption that salpingectomy completely prevents ipsilateral pregnancy.
Implications:
- Clinicians should maintain a high index of suspicion for ectopic pregnancy in patients with prior ipsilateral salpingectomy.
- Diagnostic protocols may need revision to include this rare possibility.
- Further research is needed to understand the mechanisms and incidence of stump pregnancies.
