title: Is ectopic pregnancy possible after hysterectomy?
abstract: OBJECTIVE
  To determine whether ectopic pregnancy should be suspected in young women with abdominal pain even after hysterectomy.
  
  
  METHODS
  Case report.
  
  
  METHODS
  The patient presenting with abdominal pain in the emergency department was referred to a tertiary care center.
  
  
  METHODS
  A young woman who had had a subtotal hysterectomy 3 years prior for atonic postpartum hemorrhage during her last caesarean section presented with acute abdominal pain.
  
  
  METHODS
  Urgent ultrasound showed a gestational sac of 9 weeks + 3 days. Emergency laparotomy was done for suspected ectopic pregnancy.
  
  
  METHODS
  Ultrasound, operative findings, and histopathology.
  
  
  RESULTS
  Tubal ectopic pregnancy was confirmed on laparotomy and histopathology.
  
  
  CONCLUSIONS
  Early suspicion can avoid missing early and treatable ectopic gestation before life-threatening complications develop.
authors.affiliation: Department of Obstetrics and Gynaecology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttarakhand, India. savyk2000@yahoo.com
authors.forename: Savita
authors.initials: S
authors.lastname: Bansal
authors.forename: Manju
authors.initials: M
authors.lastname: Saini
authors.forename: Meena
authors.initials: M
authors.lastname: Harsh
authors.forename: Amrita
authors.initials: A
authors.lastname: Kaur
authors.forename: Jaya
authors.initials: J
authors.lastname: Chaturvedi
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000601:surgery*; D013997:Time Factors; D014463:Ultrasonography