Review article: Late post-hysterectomy ectopic pregnancy

Ehab Saad Aldin, Joanna Saadeh, Labib Ghulmiyyah, Eveline Hitti

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Ectopic pregnancy after hysterectomy is a rare but potentially life-threatening condition requiring prompt diagnosis to prevent the increased mortality associated with rupture. Twenty-seven cases of late post-hysterectomy ectopic pregnancy reported in the English literature since 1918 were reviewed and analysed for presenting symptoms, missed diagnosis rate at initial presentation, location of ectopic and rupture rate at diagnosis. The presenting symptoms were found to be non-specific. The diagnosis in this population is twice more likely to be missed than in women with intact uteri. The rupture rate is 63%, compared with 37% in women with intact uteri. The majority of late post-hysterectomy ectopic pregnancies (62%) were located in the fallopian tubes. Because of the potential risk of mortality, emergency physicians should always consider the possibility of ectopic pregnancy in childbearing women whose surgical history includes hysterectomy without oophorectomy. Evaluation of abdominal pain in this population should include a pregnancy test to ensure prompt diagnosis when the possibility of pregnancy exists clinically.

Original languageEnglish (US)
Pages (from-to)239-243
Number of pages5
JournalEMA - Emergency Medicine Australasia
Volume24
Issue number3
DOIs
StatePublished - Jun 2012

Keywords

  • Diagnosis
  • Ectopic pregnancy
  • Hysterectomy
  • Review

ASJC Scopus subject areas

  • Emergency Medicine

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