Is ectopic pregnancy possible after hysterectomy?
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.
Bansal
Savita
S
Department of Obstetrics and Gynaecology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttarakhand, India. savyk2000@yahoo.com
Saini
Manju
M
Harsh
Meena
M
Kaur
Amrita
A
Chaturvedi
Jaya
J
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