| Ectopic pregnancy after hysterectomy: a review and insight into etiology and prevention. | |
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MedLine Citation:
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PMID: 19393994 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To review all reported cases of ectopic pregnancy after hysterectomy. DESIGN: Medline literature search 1966 to Jan 2009. Search terms included "ectopic pregnancy," "post hysterectomy ectopic pregnancy," "pregnancy after hysterectomy." The bibliography of all retrieved articles was searched for additional sources of data. SETTING: Academic medical center. PATIENT(S): Women with ectopic pregnancies following hysterectomy. INTERVENTION(S): Surgical removal. MAIN OUTCOME MEASURE(S): To review all reported cases of ectopic pregnancy after hysterectomy. RESULT(S): Fifty-six cases of ectopic pregnancies after hysterectomy have been reported. Thirty-one such cases were diagnosed and treated in the immediate period after hysterectomy, "early presentation," and were pregnancies presumed to have been present at the time the hysterectomy was performed. Twenty-five cases of "late presentation" ectopic pregnancy after hysterectomy have been reported, certainly developing as a result of a communication between the vagina and the peritoneal cavity. CONCLUSION(S): Every woman with intact ovaries, despite previous hysterectomy, who presents with abdominal pain, should be screened for pregnancy. "Early presentation" ectopic pregnancies can be prevented with adequate contraception before hysterectomy or by avoiding operating in the periovulatory or luteal phase of the menstrual cycle. "Late presentation" ectopic pregnancies after hysterectomy are likely dependent on the type of hysterectomy performed and the presence or a residual cervix. |
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Authors:
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Donald L Fylstra |
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Publication Detail:
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Type: Journal Article; Review Date: 2009-04-25 |
Journal Detail:
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Title: Fertility and sterility Volume: 94 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-08 Completed Date: 2010-07-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 431-5 Citation Subset: IM |
Copyright Information:
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Copyright 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC 29425, USA. fylstrad@musc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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etiology* Female Humans Hysterectomy* Postoperative Period Pregnancy Pregnancy, Ectopic / etiology*, prevention & control* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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