title: Tubal ectopic pregnancy after bilateral tubal ligation: A case report.
abstract: BACKGROUND
  Tubal ligation is a common method of contraception, and pregnancy after this method of sterilization is uncommon. We here present a report of Tubal pregnancy after a Bilateral Tubal Ligation (BTL).
  
  
  METHODS
  The case notes of a 35 year Nigerian female who presented with a tubal pregnancy after BTL and a review of literature on the subject was used.
  
  
  RESULTS
  A 35-year-old para 4=0 had bilateral tubal ligation during caesarean section for her last childbirth. She presented 3 years later with a six weeks history of irregular vaginal bleeding and lower abdominal pain and had a laparotomy for a right tubal ectopic pregnancy.
  
  
  CONCLUSIONS
  Ectopic pregnancy after bilateral tubal ligation is uncommon. Females who undergo BTL should be adequately counseled on the possibility of failure of this procedure for contraception.
authors.affiliation: nkeiruameh@yahoo.com
authors.forename: N
authors.initials: N
authors.lastname: Ameh
authors.forename: N H
authors.initials: NH
authors.lastname: Madugu
authors.forename: U S
authors.initials: US
authors.lastname: Bawa
authors.forename: M S
authors.initials: MS
authors.lastname: Adelaiye
authors.forename: M
authors.initials: M
authors.lastname: Akpa
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011274:Pregnancy, Tubal; D013246:Sterilization, Tubal; D017211:Treatment Failure