Vaginal management of a "late" ectopic pregnancy after vaginal hysterectomy.
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.
Ramos
Dalmo Borges
DB
Clinica Ginecológica Dr Dalmo Borges Ramos, São Paulo, Brazil.
Busso
Newton Eduardo
NE
Busso
Cristiano Eduardo
CE
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*