Singh Madhu, Singh Rahul, Singh Abhishek B
Obstetrics and Gynecology, Dr. Balwant Singh's Hospital, Georgetown, GUY.
Accident and Emergency, Dr. Balwant Singh's Hospital, Georgetown, GUY.
Cureus. 2021 Jun 28;13(6):e15982. doi: 10.7759/cureus.15982. eCollection 2021 Jun.
Ectopic pregnancies often recur in the same patients as its etiology is tubal damage, which is rarely unilateral. In the setting of a well-documented history of ectopic pregnancy in the past where a salpingectomy was performed, and the clinical picture now suggests another ectopic, it can be reasonably concluded that the ectopic is in the remaining tube. In the case we present here, the ultrasound findings also suggested a tubal pregnancy in the remaining tube. Therefore, it was a surprise to find a profusely bleeding ectopic gestation in the stump of the same tube (where salpingectomy was performed earlier) on laparoscopy.
异位妊娠常发生于同一患者，因为其病因是输卵管损伤，而这种损伤很少是单侧的。对于过去有明确记录的异位妊娠病史且已行输卵管切除术，而目前临床表现提示又一次异位妊娠的情况，可以合理推断异位妊娠发生在剩余的输卵管。在我们这里呈现的病例中，超声检查结果也提示剩余输卵管妊娠。因此，在腹腔镜检查时发现同一输卵管残端（先前已行输卵管切除术）有大量出血的异位妊娠，着实令人惊讶。
