OBJECTIVE: To describe the first vaginal approach to an ectopic pregnancy after hysterectomy. DESIGN: Case report. SETTING: Private hospital. PATIENT(S): A 38-year-old woman presenting with an ectopic pregnancy 5 months after having a vaginal hysterectomy due to uterine myomatosis. INTERVENTION(S): Vaginal adnexectomy. MAIN OUTCOME MEASURE(S): Vaginal surgery as a plausible approach for this very particular situation (ectopic pregnancy in hysterectomized patient). RESULT(S): After vaginal surgery with removal of the left tube (containing a gestacional sac) and ovary, the patient fully recovered. CONCLUSION(S): Vaginal surgery can be a safe option for ectopic pregnancy resolution in noncomplicated cases. Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
OBJECTIVE: To describe the first vaginal approach to an ectopic pregnancy after hysterectomy. DESIGN: Case report. SETTING: Private hospital. PATIENT(S): A 38-year-old woman presenting with an ectopic pregnancy 5 months after having a vaginal hysterectomy due to uterine myomatosis. INTERVENTION(S): Vaginal adnexectomy. MAIN OUTCOME MEASURE(S): Vaginal surgery as a plausible approach for this very particular situation (ectopic pregnancy in hysterectomized patient). RESULT(S): After vaginal surgery with removal of the left tube (containing a gestacional sac) and ovary, the patient fully recovered. CONCLUSION(S): Vaginal surgery can be a safe option for ectopic pregnancy resolution in noncomplicated cases. Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.