Arora V K
Int Surg. 1983 Jul-Sep;68(3):253-5.
This paper reports a case of ectopic abdominal pregnancy following total hysterectomy and reviews the literature. Pregnancy following total hysterectomy is a rare event. Ectopic pregnancy following supracervical hysterectomy can be explained in view of the remaining patent cervical canal. In cases of total hysterectomy (abdominal or vaginal) two important factors to be considered are the persistence of a fistulous tract from the vaginal apex to the peritoneum and the prolapse of the fallopian tube into the vagina, creating a patent tract for spermatozoa. As long as some ovaries remain, the possibility of ectopic pregnancy must be entertained in the differential diagnosis of acute abdomen in a female.
本文报告了1例全子宫切除术后腹腔异位妊娠病例并对相关文献进行综述。全子宫切除术后妊娠是罕见事件。次全子宫切除术后发生异位妊娠可归因于宫颈管仍保持通畅。在全子宫切除术（经腹或经阴道）病例中，需要考虑的两个重要因素是从阴道顶端至腹膜的瘘管持续存在以及输卵管脱垂至阴道内，从而为精子形成一个通道。只要保留部分卵巢，对于女性急腹症进行鉴别诊断时就必须考虑异位妊娠的可能性。
