| 1. Title: Ectopic pregnancy after total hysterectomy. Author: Bruder ML; Vigilante M Source: Obstetrics and Gynecology. June 1973;41(6):891-893. Abstract: Pregnancy can follow hysterectomy in either of 3 cases: 1) following incomplete surgical procedures, which would not classify it as a "true" hysterectomy, 2) when fertilization occurs prior to hysterectomy, and 3) when fertilization occurs after hysterectomy. Both vaginal and abdominal hysterectomies are susceptible to pregnancy occurring after a significant time has elapsed between surgery and fertilization. It is suggested that the sperm can ascend from the vagina through the vault via a fistulous tract to fertilize an extruded ovum which can then implant either in the tube, the broad ligament, the vesicovaginal space, or in the abdomen itself. Though occurrence of such 'late' ectopic pregnancies is uncommon, the need to be aware of its existence is important. "Early" extopic pregnancies are hard to diagnose, particularly those in which fertilization of the ovum has already occurred in the tube but the hysterectomy is performed in the preimplantation stage when no decidua have as yet been produced in the uterus to alert the gynecologist of a possible pregnancy. The thirteenth reported case of ectopic pregnancy after total hysterectomy is presented. Language: English Keywords: CASE STUDIES | PREGNANCY, ECTOPIC | HYSTERECTOMY | Studies | Research Methodology | Pregnancy Complications | Diseases | Gynecologic Surgery | Urogenital Surgery | Surgery | Treatment Document Number: 732984 |
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