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Mechanism of onset of ectopic pregnancy in the present case. (1) Ovum from left ovary was fertilized by the sperm that passed through the left fallopian tube. (2) The fertilized egg migrated into intraperitoneal cavity and implanted in the remnant portion of the right fallopian tube.
Source publication
A 39-year-old female with a history of partial salpingectomy for tubal pregnancy was diagnosed as having recurrent ectopic pregnancy in the distal portion of the fallopian tube remnant, which was successfully treated by laparoscopic surgery. The patient was multigravida (9 pregnancies) and uniparous. She had undergone right partial salpingectomy by...
Context in source publication
Context 1
... In contrast, the left fallopian tube appeared normal, with chromotubation indicating permeability; and 3) The corpus luteum was observed in the left ovary. As shown in Figure 2, the above intraperitoneal findings suggested that an ovum from the left ovary had been fertilized in the left fallopian tube, after which the fertilized egg migrated into the abdominal cavity, and im- planted in the right fallopian tube ampulla. As in the present case, it is extremely rare for an ectopic pregnancy to occur in the fallopian tube remnant af- ter partial salpingectomy. ...
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Ovarian pregnancy is very rare, and contralateral tubal pregnancy coexisting with ovarian pregnancy must be even rarer.
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Background: Post-sterilization pregnancies are rare and many postulations were made for its mechanism. Abdominal pain in women with retained uterus mandates a pregnancy test, regardless of previous tubal surgery or sterilization surgery to exclude the possibility of ectopic pregnancy. Prevention via surgical approach not only prevents future occurr...
Heterotopic pregnancy (HP) represents a rare and complex condition where simultaneous pregnancies occur at different implantation sites, with only one located within the uterine cavity. Typically diagnosed in the first trimester, HP presents diagnostic challenges due to its rarity and varying clinical presentations. Here, we present a unique case o...
Rationale:
Tubal sterilization as a contraception method has a high success rate; however, it also carries a low risk of incidental pregnancy. A majority of these pregnancies are ectopic. In this study, we report a rare case of spontaneous right distal tubal pregnancy after bilateral laparoscopic tubal sterilization.
Patient concerns:
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Citations
... Hayata et. al. reported a case of recurrent ectopic pregnancy in the fallopian tube after a partial salpingectomy on the same side, where the repeat pregnancy was found on the ampullary part of the remnant of the tube [6]. Zuzarte et. ...
Ectopic pregnancy is a major contributor to maternal morbidity and mortality in the first trimester of pregnancy. The management of ruptured ectopic pregnancy accompanied by features of severe blood loss requires concurrent resuscitation and laparotomy to save precious life. Here we present a series of cases of ruptured ectopic pregnancy deviated from the expected intraoperative findings and the associated challenges in their management in a low-resource setting in a district hospital in North East India.
... It appears from our observation that during a salpingectomy, it is important to carry out as much as possible a tubal section close to the uterus. However, recurrences of ectopic pregnancies were described with residual tubal stump after salpingectomy [17,18]. Ultimately, particular attention should be paid to patients with a history of salpingectomy due to the risk of uterine rupture throughout pregnancy. ...
... Despite technological progress, there are difficulties in the diagnosis of EP, particularly in cornual localization. Indeed, it is characterized by its clinical polymorphism, with as a major risk uterine rupture [2,3]. Thus we report a case of cornual ectopic pregnancy whose particularity was the diagnostic difficulties as often encountered in an under-medicalized environment, in sub-Saharan Africa. ...
... In terms of pregnancy prognosis, salpingostomy was reported to be less likely to increase the rate of intrauterine pregnancy than salpingectomy, while it significantly increases recurrent ectopic pregnancy. It was also reported that in tubal pregnancies, where the opposing fallopian tube gives normal results, laparoscopic salpingectomy does not decrease the incidence of postoperative intrauterine pregnancy, but decreases the chances of continuing extra pregnancy, uterine and recurrent ectopic pregnancies [2]. Therefore, treatment by laparoscopic surgery remains preferred. ...
Cornual ectopic pregnancy (CEP) is defined by implantation of the ovular sac in the rudimentary horn of a bicorn uterus. By extension, pregnancies implanted in the horn of a partitioned uterus or in the stump of a fallopian tube in a patient who has undergone a salpingectomy are sometimes grouped under this definition. This is a rare pathology in daily practice and it represents about 2% of EP with a mortality rate of 2-2.5% per uterine rupture, doubled compared to other tubal ectopic pregnancy. We report a case of late evolutionary left cornual pregnancy in myomatous uterus, discovered with minimal blackish metrorrhagia with pelvic pain due to 10-week amenorrhea in a 30-year-old patient, gravida 7 primipara (5 spontaneous miscarriages). After a diagnostic wandering, the exploratory laparotomy confirmed a left cornual pregnancy in myomatous uterus. A cornual resection was carried out with simple postoperative recoveries.
