Ectopic Pregnancy Months and Years After Hysterectomy

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Abstract
• Ectopic pregnancy following total hysterectomy is rare. The majority of ectopic pregnancies evidently were present at the time of hysterectomy, but sometimes they occurred years after a total hysterectomy. To our knowledge, only 24 cases have been reported to date, with two thirds of these appearing in the last 14 years. Several factors are involved in this curious entity, namely, the role of the general surgeon in its definitive treatment, the increasing frequency of hysterectomy in women of childbearing age, and the vagueness of exact differential diagnosis before laparotomy. Two different pathophysiologic mechanisms have been postulated in its occurrence. In addition, two subgroups of patients have been identified with regard to timing of the clinical presentation. We will review the known factors, describe the clinical course, and add our own case report of this condition. (Arch Surg 1982;117:962-964)

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