title: Three surgically managed ipsilateral spontaneous ectopic pregnancies.
abstract: BACKGROUND
  Recurrence of ectopic pregnancy is usually associated with assisted reproductive techniques, being less likely to occur after natural conception.
  
  
  METHODS
  We report the case of a patient who had three consecutive ectopic pregnancies on the ipsilateral side after natural conception and was treated surgically in each case with partial salpingectomy, removal of tubal stump, and resection of the uterine cornua, respectively. The contralateral normal tube was resected at the time of last operation.
  
  
  CONCLUSIONS
  We indicate the high risk for tubal rupture and bleeding and the need for appropriate surgical intervention when managing recurrent ectopic pregnancies. Furthermore, care should be undertaken not to leave a long tubal stump when performing salpingectomy for ectopic pregnancy, to decrease risk of recurrence.
authors.affiliation: Department of Obstetrics and Gynaecology, Aberdeen Royal Infirmary, Aberdeen, UK. dmiligk@doctors.org.uk
authors.forename: Dimitrios S
authors.initials: DS
authors.lastname: Milingos
authors.forename: Mairead
authors.initials: M
authors.lastname: Black
authors.forename: Christine
authors.initials: C
authors.lastname: Bain
mesh_terms: D000328:Adult; D005187:Fallopian Tubes / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000473:pathology / Q000601:surgery*; D012008:Recurrence