Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 16 , ISSUE 1 ( January-February, 2024 ) > List of Articles

CASE REPORT

Management of Tubal Stump Pregnancy after Salpingectomy

Shefali Tyagi, Swapnil Bhagat

Keywords : Case report, Hemoperitoneum, Salpingectomy, Tubal stump pregnancy

Citation Information : Tyagi S, Bhagat S. Management of Tubal Stump Pregnancy after Salpingectomy. J South Asian Feder Obs Gynae 2024; 16 (1):58-59.

DOI: 10.5005/jp-journals-10006-2337

License: CC BY-NC 4.0

Published Online: 18-01-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Ectopic pregnancies constitute around 1–2% of all pregnancies, out of which 0.4% will be tubal stump ectopic pregnancy. Tubal stump pregnancy is a type of pregnancy implanted in the remnants of the fallopian tube post-salpingectomy. We describe a rare case of ectopic pregnancy in a 33-year-old gravida 2 on the tubal stump despite previous salpingectomy done on the ipsilateral side due to ectopic in the ampullary portion of the fallopian tube. In the previous pregnancy medical management was tried, however, beta-HCG continued to rise and the patient had to undergo laparoscopic surgery. She conceived normally again 4 months later and an early scan at 5 weeks again suggested ectopic on the same side. Being early gestation, methotrexate was tried again but the patient presented with hemoperitoneum 2 days later. During the laparoscopic procedure, it was discovered to be a tubal stump ectopic on the ipsilateral side where salpingectomy was previously done. The tubal stump was completely removed with electrocautery. The patient needed one packed cell transfusion; however, she recovered well and was discharged after one day. Tubal ectopic pregnancy is difficult to diagnose and treat compared to regular ectopic pregnancy. The chances of rupture are higher due to the location of the pregnancy which increases morbidity and mortality. Hence even after salpingectomy, the tubal stump ectopic should be considered in diagnosis.


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