title: Tubal ectopic pregnancy two years after laparoscopic supracervical hysterectomy.
abstract: BACKGROUND
  Ectopic pregnancy after hysterectomy is a very rare condition, but it must be kept in mind in women with history of hysterectomy who present with abdominal pain and ecographic adnexal heterogeneous images. Since first described by Wendeler in 1895, at least 67 ectopic pregnancies (tubal, ovarian and abdominal) have been described in patients subjected to prior hysterectomy.
  
  
  METHODS
  We describe the case of a 41-year-old white caucasian woman admitted to the emergency room due to abdominal pain for two days. The ultrasounds scan and the quantification of beta-HCG led to the diagnosis of tubal ectopic pregnancy, although she had been hysterectomized two years before. An emergency laparoscopy was performed for salpingectomy. The pathology report indicated trophoblastic tubal implantation and hematosalpinx.
  
  
  CONCLUSIONS
  Ectopic pregnancy is one of the conditions to be considered in the differential diagnosis of abdominal pain in women of child bearing potential, and the absence of the uterus does not rule out its diagnosis.
authors.forename: Emilia
authors.initials: E
authors.lastname: Villegas
authors.affiliation: Obstetrics and Gynecology Research Group, IBIMA, Málaga University, School of Medicine, Málaga University Hospital, Málaga, Spain. egonzalezmesa@gmail.com.
authors.forename: Ernesto
authors.initials: E
authors.lastname: González-Mesa
authors.forename: María José
authors.initials: MJ
authors.lastname: Benítez
authors.forename: Sergio
authors.initials: S
authors.lastname: Luna
authors.forename: Cristina
authors.initials: C
authors.lastname: Gómez
authors.forename: Aurelia
authors.initials: A
authors.lastname: Marsac
authors.forename: Jesús
authors.initials: J
authors.lastname: Jiménez
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010535:Laparoscopy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging*; D014463:Ultrasonography