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Case Report
Recurrent ipsilateral interstitial ectopic pregnancy after salpingectomy
1 MD, Basic Specialist Trainee - Department of Obstetrics & Gynaecology, Mater Dei Hospital, Dun Karm Street, Msida, Malta
2 MD, MRCP, MRCOG MSc (Rep Health) PgCert (Int. Medicine), Resident Specialist - Department of Obstetrics & Gynaecology, Mater Dei Hospital, Dun Karm Street, Msida, Malta
3 MD, DScMed, FRCOG, MRCPI, AccCOG, SpecOG, Professor - Department of Obstetrics & Gynaecology, Mater Dei Hospital, University of Malta, Dun Karm Street, Msida, Malta
Address correspondence to:
Federica Zammit
(Basic Specialist Trainee in Obstetrics and Gynaecology), Department of Obstetrics & Gynaecology, Mater Dei Hospital, Dun Karm Street, Msida,
Malta
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Article ID: 100161Z08FZ2023
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How to cite this article
Zammit F, Grixti SS, Savona-Ventura C. Recurrent ipsilateral interstitial ectopic pregnancy after salpingectomy. J Case Rep Images Obstet Gynecol 2023;9(2):35–38.ABSTRACT
Introduction: This case highlights the long-term obstetric risks following salpingectomy. These include recurrent ipsilateral interstitial ectopic pregnancy and uterine rupture.
Case Report: A 29-year-old lady presented with acute abdominal pain as well as signs and symptoms of hemorrhagic shock at 14 weeks of gestation. She was subsequently diagnosed with a ruptured right-sided interstitial ectopic pregnancy, which was managed surgically. The patient had a past history of open salpingo-oophorectomy for a complicated right-sided ectopic pregnancy involving the ovary at 12 weeks of gestation in her previous pregnancy. A subsequent pregnancy a year later was complicated by impending uterine rupture at 30 weeks of gestation. A healthy baby was delivered by Cesarean section.
Conclusion: A meticulous surgical technique is of the essence when performing a salpingectomy for whatever pathology. The risk of a recurrent ipsilateral interstitial ectopic pregnancy must always be considered. Also, the risk of antenatal and intrapartum uterine rupture must be addressed in future pregnancies following interstitial pregnancies.
Keywords: Hematocoele, Interstitial pregnancy, Salpingo-oophorectomy, Tubal abortion, Uterine rupture
SUPPORTING INFORMATION
Author Contributions
Federica Zammit - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sarah Sultana Grixti - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Charles Savona-Ventura - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Federica Zammit et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
