Recurrent Ectopic Pregnancy After Ipsilateral Segmental Salpingectomy

• Main Authors: Li-Ling Chou, Ming-Chao Huang
• Format: Article
• Language: English
• Published: Elsevier 2008-06-01
• Series: Taiwanese Journal of Obstetrics & Gynecology
• Subjects: ectopic pregnancy; recurrent; segmental salpingectomy
• Online Access: http://www.sciencedirect.com/science/article/pii/S1028455908600819

Objective: We report an unusual case of recurrent ectopic pregnancy in the distal remnant after partial salpingectomy. Case Report: A 23-year-old woman underwent laparoscopic right partial salpingectomy because of right tubal pregnancy. She returned to our hospital 2 years later with a positive pregnancy test and lower abdominal pain. Transvaginal ultrasonography revealed no intrauterine gestational sac but a right adnexal mass measuring 2.4×2.3 cm. The serum β-hCG (β subunit of human chorionic gonadotropin) level was 2,91 8.06 mlU/mL. Videolaparoscopy was performed, and an ectopic pregnancy in the distal remnant of the right fallopian tube was identified. Right salpingectomy was effective and the pathologic report confirmed the diagnosis. The patient's postoperative recovery was uneventful. Conclusion: If conservative methods are not suitable for a patient with tubal pregnancy, total salpingectomy is the preferred option over partial salpingectomy. A remnant poses a risk for recurrent ectopic pregnancy owing to potential transperitoneal migration of either embryos or sperms. [Taiwan J Obstet Cynecol 2008;47(2):203-205]