title: A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube.
abstract: Recurrent ectopic pregnancy in a remnant fallopian tube after ipsilateral salpingectomy is clinically rare. We report the extremely rare case of a third recurrent ectopic pregnancy after two previous salpingectomy procedures involving the opposite tube. A 26-year-old woman, gravida 3 para 0, experienced three ectopic pregnancies brought about by natural conception, all of which were treated surgically (right partial salpingectomy, right remnant tube resection, and left total salpingectomy). During the two salpingectomy procedures involving the right tube, the patency of the intact left tube was intraoperatively confirmed with indigo carmine. The most appropriate surgical intervention should be discussed when managing recurrent ectopic pregnancies. It might be necessary to perform total salpingectomy to reduce the risk of future recurrence on the remaining tube.
authors.affiliation: Department of Obstetrics and Gynecology, Hashimoto Municipal Hospital, Wakayama, Japan; Department of Obstetrics and Gynecology, Wakayama Medical University, Wakayama, Japan.
authors.forename: Naoyuki
authors.identifier: 0000-0002-6422-325X
authors.initials: N
authors.lastname: Iwahashi
authors.affiliation: Department of Obstetrics and Gynecology, Hashimoto Municipal Hospital, Wakayama, Japan; Department of Obstetrics and Gynecology, Wakayama Medical University, Wakayama, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Deguchi
authors.affiliation: Department of Obstetrics and Gynecology, Hashimoto Municipal Hospital, Wakayama, Japan; Department of Obstetrics and Gynecology, Wakayama Medical University, Wakayama, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Horiuchi
authors.affiliation: Department of Obstetrics and Gynecology, Wakayama Medical University, Wakayama, Japan.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Ino
authors.affiliation: Department of Obstetrics and Gynecology, Hashimoto Municipal Hospital, Wakayama, Japan.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Furukawa