Tubal ectopic pregnancy two years after laparoscopic supracervical hysterectomy
| Autor: | Ernesto González-Mesa, Aurelia Marsac, María José Benítez, Cristina Gómez, Sergio Luna, Jesús Muñoz Jiménez, Emilia Villegas |
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| Přispěvatelé: | [Villegas,E, González-Mesa,E, Benítez, MJ, Luna, S, Gómez,C, Marsac,A] Obstetrics and Gynecology Research Group. IBIMA. Málaga University, School of Medicine, Málaga. University Hospital, Málaga, Spain. [Jiménez,J] Obstetrics and Gynecology Department, 12 de Octubre University Hospital, Madrid, Spain. |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Laparoscopic hysterectomy Abdominal pain medicine.medical_specialty Ectopic pregnancy medicine.medical_treatment Tubal pregnancy Adnexal mass Case Report Histerectomía Histerectomy Hysterectomy Laparoscopia Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] Pregnancy Salpingectomy Obstetrics and Gynaecology Named Groups::Persons::Age Groups::Adult [Medical Subject Headings] medicine Humans Hematosalpinx Hemoperitoneum Phenomena and Processes::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproductive Physiological Processes::Reproduction::Pregnancy [Medical Subject Headings] Ultrasonography Medicine(all) business.industry Obstetrics Analytical Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures Operative::Urogenital Surgical Procedures::Gynecologic Surgical Procedures::Hysterectomy [Medical Subject Headings] Obstetrics and Gynecology General Medicine medicine.disease Embarazo tubario Check Tags::Female [Medical Subject Headings] Reproductive Medicine Analytical Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures Operative::Surgical Procedures Minimally Invasive::Endoscopy::Laparoscopy [Medical Subject Headings] Female Laparoscopy Pregnancy Tubal Diseases::Female Urogenital Diseases and Pregnancy Complications::Pregnancy Complications::Pregnancy Ectopic::Pregnancy Tubal [Medical Subject Headings] medicine.symptom business |
| Zdroj: | BMC Women's Health |
| ISSN: | 1472-6874 |
| DOI: | 10.1186/1472-6874-14-69 |
| Popis: | Case Reports; Journal Article; 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. CASE PRESENTATION 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. Yes |
| Databáze: | OpenAIRE |
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