Case Report
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Tubal Stump Ectopic Pregnancy with Acute Abdomen: A Rare Case Report

Year 2023, Volume: 14 Issue: 3, 54 - 56, 13.11.2023

Cenk Soysal Özlem Erten

https://doi.org/10.33706/jemcr.1289226

Abstract

Ectopic pregnancy, characterized by the implantation of the gestational sac outside the uterine cavity, is a grave condition. The objective of this study is to
report a case of recurrent ectopic pregnancy in the residual site of the same fallopian tube, which had undergone unilateral salpingectomy due to ectopic pregnancy
five years prior. Despite its rarity in the literature, tubal stump ectopic pregnancy poses higher risks of maternal mortality and morbidity compared to
other types of tubal ectopic pregnancies. It is important to note that a history of salpingectomy does not exclude the possibility of ipsilateral recurrent ectopic
pregnancy. Furthermore, this is the first documented case of stump tubal ectopic pregnancy from Turkey.

Keywords

Ectopic pregnancy tubal stump pregnancy acute abdomen vaginal bleeding

References

  • 1. Saraiya M, Berg CJ, Shulman H, Green CA, Atrash HK. Estimates of the annual number of clinically recognized pregnancies in the United States, 1981-1991. American journal of epidemiology. 1999;149(11):1025-9.
  • 2. Ko PC, Liang CC, Lo TS, Huang HY. Six cases of tubal stump pregnancy: complication of assisted reproductive technology? Fertility and sterility. 2011;95(7):2432.e1-4.
  • 3. Perkins KM, Boulet SL, Kissin DM, Jamieson DJ. Risk of ectopic pregnancy associated with assisted reproductive technology in the United States, 2001-2011. Obstetrics and gynecology. 2015;125(1):70-8.
  • 4. Sun F, Yang S, Yang Y, Liu X, Xu H. Laparoscopic Management of 42 Cases of Tubal Stump Pregnancy and Postoperative Reproductive Outcomes. Journal of minimally invasive gynecology. 2020;27(3):618-24.
  • 5. Samiei-Sarir B, Diehm C. Recurrent ectopic pregnancy in the tubal remnant after salpingectomy. Case reports in obstetrics and gynecology. 2013;2013:753269.
  • 6. Sturlese E, Retto G, Palmara V, De Dominici R, Lo Re C, Santoro G. Ectopic pregnancy in tubal remnant stump after ipsilateral adnexectomy for cystic teratoma. Archives of gynecology and obstetrics. 2009;280(6):1015-7.
  • 7. Takeda A, Manabe S, Mitsui T, Nakamura H. Spontaneous ectopic pregnancy occurring in the isthmic portion of the remnant tube after ipsilateral adnexectomy: report of two cases. The journal of obstetrics and gynaecology research. 2006;32(2):190-4.
  • 8. Zuzarte R, Khong CC. Recurrent ectopic pregnancy following ipsilateral partial salpingectomy. Singapore medical journal. 2005;46(9):476-8.
  • 9. Milingos DS, Black M, Bain C. Three surgically managed ipsilateral spontaneous ectopic pregnancies. Obstetrics and gynecology. 2008;112(2 Pt 2):458-9.
  • 10. Lau S, Tulandi T. Conservative medical and surgical management of interstitial ectopic pregnancy. Fertility and sterility. 1999;72(2):207-15.
  • 11. Peker N, Aydeniz EG, Gündoğan S, Şendağ F. Laparoscopic Management of Heterotopic Istmocornual Pregnancy: A Different Technique. Journal of minimally invasive gynecology. 2017;24(1):8-9.
  • 12. Chien W-H, Liang C-CJGS. Repeated ectopic pregnancy on the tubal stump after laparoscopic salpingectomy. 2005;2(4):311-2.
  • 13. Nishida M, Miyamoto Y, Kawano Y, Takebayashi K, Narahara H. A case of successful laparoscopic surgery for tubal stump pregnancy after tubectomy. Clinical medicine insights Case reports. 2015;8:1-4.
  • 14. Gao MY, Zhu H, Zheng FY. Interstitial Pregnancy after Ipsilateral Salpingectomy: Analysis of 46 Cases and a Literature Review. Journal of minimally invasive gynecology. 2020;27(3):613-7.
  • 15. McCausland A. Endosalpingosis ("endosalpingoblastosis") following laparoscopic tubal coagulation as an etiologic factor of ectopic pregnancy. American journal of obstetrics and gynecology. 1982;143(1):12-24.

Year 2023, Volume: 14 Issue: 3, 54 - 56, 13.11.2023

Cenk Soysal Özlem Erten

https://doi.org/10.33706/jemcr.1289226

Abstract

References

  • 1. Saraiya M, Berg CJ, Shulman H, Green CA, Atrash HK. Estimates of the annual number of clinically recognized pregnancies in the United States, 1981-1991. American journal of epidemiology. 1999;149(11):1025-9.
  • 2. Ko PC, Liang CC, Lo TS, Huang HY. Six cases of tubal stump pregnancy: complication of assisted reproductive technology? Fertility and sterility. 2011;95(7):2432.e1-4.
  • 3. Perkins KM, Boulet SL, Kissin DM, Jamieson DJ. Risk of ectopic pregnancy associated with assisted reproductive technology in the United States, 2001-2011. Obstetrics and gynecology. 2015;125(1):70-8.
  • 4. Sun F, Yang S, Yang Y, Liu X, Xu H. Laparoscopic Management of 42 Cases of Tubal Stump Pregnancy and Postoperative Reproductive Outcomes. Journal of minimally invasive gynecology. 2020;27(3):618-24.
  • 5. Samiei-Sarir B, Diehm C. Recurrent ectopic pregnancy in the tubal remnant after salpingectomy. Case reports in obstetrics and gynecology. 2013;2013:753269.
  • 6. Sturlese E, Retto G, Palmara V, De Dominici R, Lo Re C, Santoro G. Ectopic pregnancy in tubal remnant stump after ipsilateral adnexectomy for cystic teratoma. Archives of gynecology and obstetrics. 2009;280(6):1015-7.
  • 7. Takeda A, Manabe S, Mitsui T, Nakamura H. Spontaneous ectopic pregnancy occurring in the isthmic portion of the remnant tube after ipsilateral adnexectomy: report of two cases. The journal of obstetrics and gynaecology research. 2006;32(2):190-4.
  • 8. Zuzarte R, Khong CC. Recurrent ectopic pregnancy following ipsilateral partial salpingectomy. Singapore medical journal. 2005;46(9):476-8.
  • 9. Milingos DS, Black M, Bain C. Three surgically managed ipsilateral spontaneous ectopic pregnancies. Obstetrics and gynecology. 2008;112(2 Pt 2):458-9.
  • 10. Lau S, Tulandi T. Conservative medical and surgical management of interstitial ectopic pregnancy. Fertility and sterility. 1999;72(2):207-15.
  • 11. Peker N, Aydeniz EG, Gündoğan S, Şendağ F. Laparoscopic Management of Heterotopic Istmocornual Pregnancy: A Different Technique. Journal of minimally invasive gynecology. 2017;24(1):8-9.
  • 12. Chien W-H, Liang C-CJGS. Repeated ectopic pregnancy on the tubal stump after laparoscopic salpingectomy. 2005;2(4):311-2.
  • 13. Nishida M, Miyamoto Y, Kawano Y, Takebayashi K, Narahara H. A case of successful laparoscopic surgery for tubal stump pregnancy after tubectomy. Clinical medicine insights Case reports. 2015;8:1-4.
  • 14. Gao MY, Zhu H, Zheng FY. Interstitial Pregnancy after Ipsilateral Salpingectomy: Analysis of 46 Cases and a Literature Review. Journal of minimally invasive gynecology. 2020;27(3):613-7.
  • 15. McCausland A. Endosalpingosis ("endosalpingoblastosis") following laparoscopic tubal coagulation as an etiologic factor of ectopic pregnancy. American journal of obstetrics and gynecology. 1982;143(1):12-24.
There are 15 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Cenk Soysal 0000-0003-1904-7282

Özlem Erten 0000-0002-3178-8297

Publication Date November 13, 2023
Submission Date April 28, 2023
Published in Issue Year 2023 Volume: 14 Issue: 3

Cite

APA Soysal, C., & Erten, Ö. (2023). Tubal Stump Ectopic Pregnancy with Acute Abdomen: A Rare Case Report. Journal of Emergency Medicine Case Reports, 14(3), 54-56. https://doi.org/10.33706/jemcr.1289226
AMA Soysal C, Erten Ö. Tubal Stump Ectopic Pregnancy with Acute Abdomen: A Rare Case Report. Journal of Emergency Medicine Case Reports. November 2023;14(3):54-56. doi:10.33706/jemcr.1289226
Chicago Soysal, Cenk, and Özlem Erten. “Tubal Stump Ectopic Pregnancy With Acute Abdomen: A Rare Case Report”. Journal of Emergency Medicine Case Reports 14, no. 3 (November 2023): 54-56. https://doi.org/10.33706/jemcr.1289226.
EndNote Soysal C, Erten Ö (November 1, 2023) Tubal Stump Ectopic Pregnancy with Acute Abdomen: A Rare Case Report. Journal of Emergency Medicine Case Reports 14 3 54–56.
IEEE C. Soysal and Ö. Erten, “Tubal Stump Ectopic Pregnancy with Acute Abdomen: A Rare Case Report”, Journal of Emergency Medicine Case Reports, vol. 14, no. 3, pp. 54–56, 2023, doi: 10.33706/jemcr.1289226.
ISNAD Soysal, Cenk - Erten, Özlem. “Tubal Stump Ectopic Pregnancy With Acute Abdomen: A Rare Case Report”. Journal of Emergency Medicine Case Reports 14/3 (November 2023), 54-56. https://doi.org/10.33706/jemcr.1289226.
JAMA Soysal C, Erten Ö. Tubal Stump Ectopic Pregnancy with Acute Abdomen: A Rare Case Report. Journal of Emergency Medicine Case Reports. 2023;14:54–56.
MLA Soysal, Cenk and Özlem Erten. “Tubal Stump Ectopic Pregnancy With Acute Abdomen: A Rare Case Report”. Journal of Emergency Medicine Case Reports, vol. 14, no. 3, 2023, pp. 54-56, doi:10.33706/jemcr.1289226.
Vancouver Soysal C, Erten Ö. Tubal Stump Ectopic Pregnancy with Acute Abdomen: A Rare Case Report. Journal of Emergency Medicine Case Reports. 2023;14(3):54-6.
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