Case reports in obstetrics and gynecology · 2026
Delayed Vaginal Cuff Ectopic Pregnancy Following Hysterectomy: A Case Report.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Nshimiyumuremyi Emmanuel, Kassa Dawit Worku, Patrick Bagambe, Ntasumbumuyange Diomede, Temesgen Fikremelekot, Ugiruwatuma Thomas, Mutabazi Viateur, Bazimaziki Theogene, Itangishaka Emmanuel, Musangamfura Vedaste, Nsengimana Etienne, Umuhoza Oscar
Аннотация
BACKGROUND: Vaginal cuff ectopic pregnancy after hysterectomy is extremely rare and poses diagnostic challenges due to unusual anatomical implantation and low clinical suspicion. Delay in diagnosis may result in catastrophic hemorrhage.
CASE PRESENTATION: A 30-year-old G7P5014 (gravida 7 para 5 1 miscarriage and 4 living children, one stillbirth because of uterine rupture) woman presented 10 months after total abdominal hysterectomy and right oophorectomy with nausea and dizziness. Transvaginal ultrasound revealed a live 8-week embryo. She initially declined surgery. Two days later, she returned with abdominal pain, hypotension (BP 90/70 mmHg), and tachycardia (HR 130 bpm). Repeat ultrasound showed intra-abdominal free fluid. Emergency laparotomy revealed 2.5-L hemoperitoneum and a gestational sac implanted on the vaginal cuff. The sac was excised, hemostasis secured, and the patient recovered well after transfusion.
CONCLUSION: Clinicians should maintain high suspicion for ectopic pregnancy in reproductive-aged women with preserved ovaries, even after hysterectomy. Early diagnosis and urgent surgical intervention are essential to prevent mortality.
CASE PRESENTATION: A 30-year-old G7P5014 (gravida 7 para 5 1 miscarriage and 4 living children, one stillbirth because of uterine rupture) woman presented 10 months after total abdominal hysterectomy and right oophorectomy with nausea and dizziness. Transvaginal ultrasound revealed a live 8-week embryo. She initially declined surgery. Two days later, she returned with abdominal pain, hypotension (BP 90/70 mmHg), and tachycardia (HR 130 bpm). Repeat ultrasound showed intra-abdominal free fluid. Emergency laparotomy revealed 2.5-L hemoperitoneum and a gestational sac implanted on the vaginal cuff. The sac was excised, hemostasis secured, and the patient recovered well after transfusion.
CONCLUSION: Clinicians should maintain high suspicion for ectopic pregnancy in reproductive-aged women with preserved ovaries, even after hysterectomy. Early diagnosis and urgent surgical intervention are essential to prevent mortality.