title: Vaginal management of a "late" ectopic pregnancy after vaginal hysterectomy.
abstract: OBJECTIVE
  To describe the first vaginal approach to an ectopic pregnancy after hysterectomy.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Private hospital.
  
  
  METHODS
  A 38-year-old woman presenting with an ectopic pregnancy 5 months after having a vaginal hysterectomy due to uterine myomatosis.
  
  
  METHODS
  Vaginal adnexectomy.
  
  
  METHODS
  Vaginal surgery as a plausible approach for this very particular situation (ectopic pregnancy in hysterectomized patient).
  
  
  RESULTS
  After vaginal surgery with removal of the left tube (containing a gestacional sac) and ovary, the patient fully recovered.
  
  
  CONCLUSIONS
  Vaginal surgery can be a safe option for ectopic pregnancy resolution in noncomplicated cases.
authors.affiliation: Clinica Ginecológica Dr Dalmo Borges Ramos, São Paulo, Brazil.
authors.forename: Dalmo Borges
authors.initials: DB
authors.lastname: Ramos
authors.forename: Newton Eduardo
authors.initials: NE
authors.lastname: Busso
authors.forename: Cristiano Eduardo
authors.initials: CE
authors.lastname: Busso
mesh_terms: D000328:Adult; D019468:Disease Management; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000601:surgery*; D013997:Time Factors; D014621:Vagina / Q000601:surgery*