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Recurrent Ectopic Pregnancies Following Bilateral Partial Salpingectomy: A Case Report.
Monica Hill1, Panagiotis Cherouveim2, Shagun Tuli2
1College of Human Medicine, Michigan State University, East Lansing, Michigan, USA, msu.edu.
Case Reports in Obstetrics and Gynecology
|April 10, 2026
Summary
Recurrent ectopic pregnancy is a rare but serious risk after bilateral partial salpingectomy. This case highlights the importance of considering total salpingectomy to prevent future ectopic pregnancies.
Area of Science:
- Reproductive Medicine
- Gynecology
- Obstetrics
Background:
- Ectopic pregnancy is a life-threatening early pregnancy complication.
- Risk factors include pelvic inflammatory disease, prior ectopic pregnancy, and pelvic surgery.
- Pregnancy after tubal sterilization is uncommon, and recurrent ectopic pregnancy after bilateral partial salpingectomy is rare.
Purpose of the Study:
- To highlight the rare occurrence of recurrent ectopic pregnancy following bilateral partial salpingectomy.
- To discuss potential contributing factors and implications for clinical practice.
Main Methods:
- Case report of a 28-year-old patient with a history of cesarean delivery and bilateral partial salpingectomy.
- Detailed description of two subsequent ectopic pregnancy events and their management.
Main Results:
- The patient experienced a right ectopic pregnancy requiring salpingectomy 10 months post-procedure.
- A subsequent ruptured left ectopic pregnancy occurred 7 months later, necessitating salpingo-oophorectomy.
Conclusions:
- Recurrent ectopic pregnancy following partial salpingectomy, though rare, poses a significant risk.
- Residual tubal segments and younger patient age may increase recurrence risk.
- Total salpingectomy should be considered to minimize recurrence and improve long-term outcomes.
