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Case Reports
. 2024 May 23:16:917-922.
doi: 10.2147/IJWH.S455616. eCollection 2024.

Spontaneous Ectopic Tubal Pregnancy After Partial Salpingectomy

Huali Fei  1 , Yixuan Yin  2 , Xiaoyan Guo  3 , Xuejing Jin  1
Affiliations
Case Reports

Spontaneous Ectopic Tubal Pregnancy After Partial Salpingectomy

Huali Fei et al. Int J Womens Health. .

Abstract

Objective: To report a rare case of spontaneous ectopic pregnancy (EP) after partial salpingectomy treated by laparoscopy.

Case report: A 30-year-old gravida 1 para 0 woman with a history of left adnexectomy, due to left ovarian torsion 13 years ago, was referred to our hospital. She had experienced lower abdominal pain for 1 day and amenorrhea for 1 week. Transvaginal ultrasonography did not reveal an intrauterine pregnancy, but showed a suspected extrauterine gestational sac on the left adnexal area. The patient was diagnosed with ectopic pregnancy, and laparoscopy was performed. During the operation, we found a gestational sac on the left fallopian tube stump.

Conclusion: The most significant risk factors for ectopic pregnancy (EP) are previous procedures and conditions that cause tubal injury. Therefore, it is necessary to be alert to the occurrence of the disease even if there is a history of tubal resection and ensure no part of the fallopian tube is left behind during removal.

Keywords: ectopic pregnancy; partial salpingectomy; proximal tubal pregnancy.

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Conflict of interest statement

The authors declare that they have no conflicts of interest in this work.

Figures

Figure 1
Figure 1
The ultrasound imaging demonstrates a mass at the residual segment of the left fallopian tube (isthmus) consistent with an ectopic pregnancy.
Figure 2
Figure 2
The size of the ectopic pregnancy mass in the left tubal remnant.
Figure 3
Figure 3
The blood flow pattern of the ectopic pregnancy mass.
Figure 4
Figure 4
The pregnancy in the left tubal remnant was observed during laparoscopy.
Figure 5
Figure 5
The right fallopian tube exhibits a normal appearance.
Figure 6
Figure 6
The villous tissue was present within the pregnancy sac of the left tubal remnant.
Figure 7
Figure 7
The pathological specimen confirmed chorionic villi (CV) within the ectopic pregnancy mass (haematoxylin and eosin stain, 200×magnification).
See this image and copyright information in PMC

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