Spontaneous Ectopic Tubal Pregnancy After Partial Salpingectomy

Abstract

Huali Fei,1 Yixuan Yin,2 Xiaoyan Guo,3 Xuejing Jin1 1Department of Reproductive Endocrinology, Hangzhou Women’s Hospital, Hangzhou, People’s Republic of China; 2Department of Prenatal Diagnosis Center, Hangzhou Women’s Hospital, Hangzhou, People’s Republic of China; 3Department of Gynecology, Hangzhou Women’s Hospital, Hangzhou, People’s Republic of ChinaCorrespondence: Yixuan Yin, Department of Prenatal Diagnosis Center, Hangzhou Women’s Hospital, Hangzhou, People’s Republic of China, Email [email protected]: To report a rare case of spontaneous ectopic pregnancy (EP) after partial salpingectomy treated by laparoscopy.Case Report: A 30-year-old gravida 1 para 0 woman with a history of left adnexectomy, due to left ovarian torsion 13 years ago, was referred to our hospital. She had experienced lower abdominal pain for 1 day and amenorrhea for 1 week. Transvaginal ultrasonography did not reveal an intrauterine pregnancy, but showed a suspected extrauterine gestational sac on the left adnexal area. The patient was diagnosed with ectopic pregnancy, and laparoscopy was performed. During the operation, we found a gestational sac on the left fallopian tube stump.Conclusion: The most significant risk factors for ectopic pregnancy (EP) are previous procedures and conditions that cause tubal injury. Therefore, it is necessary to be alert to the occurrence of the disease even if there is a history of tubal resection and ensure no part of the fallopian tube is left behind during removal.Keywords: proximal tubal pregnancy, ectopic pregnancy, partial salpingectomy

Keywords

• proximal tubal pregnancy
• ectopic pregnancy
• partial salpingectomy