Ectopic pregnancy after right annessiectomy and left tubal ligation: case report

Casella, E. and Ventura, Betty and Giunta, Giuliana and Cariola, Maria and Lo Presti, Lucia and Gallo, C. and Tomaselli, C.F. and Sapia, Francesco and Comito, C. and Castellano, L.M. and Di Simone, G. and Caruso, Salvatore (2013) Ectopic pregnancy after right annessiectomy and left tubal ligation: case report. Giornale italiano di ostetricia e ginecologia, 35 (3). pp. 471-474. ISSN 1971-1433

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Abstract

Objective. We report an unusual case of ectopic pregnancy in a woman with right annessiectomy and left tubal ligation. Case report. A 35-year old woman underwent laparotomy right annessiectomy and left tubal ligations, because of a mature cystic teratoma attached to the right annex. She arrived in emergency three years later with lower abdominal pain, amenorrhea and a positive level of beta hCG (Beta subunit of human chorionic gonadotropin). An urgent videolaparoscopy was performed, with a left salpingectomy with the removal of the ectopic pregnancy in the distal remain tube. The pathologic report confirmed the diagnosis of ectopic pregnancy. The patient’s postoperative recovery was normal. Conclusion. The analysis of the literature/published data shows that the partial salpingectomy increases the risk of ectopic pregnancy, so total salpingectomy is the preferred option over partial salpingectomy, in order to reduce the risk of recurrent ectopic pregnancy.

Item Type:	Article
Uncontrolled Keywords:	Ectopic pregnancy, salpingectomy, tubal ligation, annessiectomy
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 618 Altri rami della medicina; Ginecologia e ostetricia, Pediatria, Geriatria
Depositing User:	Matteo Viola
Date Deposited:	11 Sep 2013 16:26
Last Modified:	11 Sep 2013 16:26
URI:	http://eprints.bice.rm.cnr.it/id/eprint/6803

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