title: Ectopic pregnancy after cesarean hysterectomy.
abstract: BACKGROUND
  Ectopic pregnancy after a total abdominal hysterectomy is rare and, for this reason, delay in diagnosis may occur when such a patient presents with abdominal pain.
  
  
  METHODS
  A multiparous patient with a history of cesarean hysterectomy 12 years before presented to the emergency department with abdominal pain and incidental positive urine beta-human chorionic gonadotrophin (hCG). A computed tomography scan revealed a loculated left cystic mass in the pelvis. Laparotomy findings revealed a left adnexal mass; pathology revealed chorionic villi consistent with pregnancy.
  
  
  CONCLUSIONS
  Ectopic pregnancy may occur after hysterectomy, but typically presents near the time of surgery and is more commonly associated with vaginal hysterectomy. However, because ectopic pregnancy is possible after hysterectomy, it should be considered in the differential diagnosis of adnexal mass in such a patient.
authors.affiliation: Department of Obstetrics and Gynecology, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA.
authors.forename: Wendi D
authors.initials: WD
authors.lastname: Brown
authors.forename: Lara
authors.initials: L
authors.lastname: Burrows
authors.forename: Catherine S
authors.initials: CS
authors.lastname: Todd
mesh_terms: D000291:Adnexal Diseases / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007044:Hysterectomy; D017699:Pelvic Pain / Q000209:etiology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis*