Tubal ectopic pregnancy following bilateral salphingectomies.
The reported incidence of ectopic pregnancy after bilateral salpingectomies is very low. We present a 31-year-old woman, who had an ectopic pregnancy after bilateral salpingectomies for previous ectopic pregnancies. A high index of suspicion for pregnancy is prudent to avoid missing an ectopic pregnancy despite a history of bilateral salpingectomies. Not all cases of ectopic pregnancies present with the classical triad of abdominal pain, vaginal bleeding and a period of amenorrhoea. A urine pregnancy test is a simple and inexpensive test, which should always be done to rule out pregnancy in a woman of reproductive age presenting with a period of amenorrhoea and abdominal symptoms.
Joosoph
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Minimally Invasive Surgery Unit, Division of Obstetrics and Gynaecology, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899.
Siow
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D000328:Adult; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000601:surgery