Vaginal management of a "late" ectopic pregnancy after vaginal hysterectomy.

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.