Background: Ectopic pregnancy after hysterectomy is a rare event. There are 81 cases documented in the English medical literature since 1895.
Case report: 32y/o G2P1011, with baseline history of chronic pelvic pain after abdominal hysterectomy and unilateral salpingectomy, presented with acute pain. Patient was diagnosed with ectopic pregnancy and underwent an urgent laparoscopy. Conclusion: Ectopic pregnancy should be part of the differential diagnosis for women of reproductive age, including woman post hysterectomy, who present with abdominal or pelvic pain or vaginal bleeding. Untimely diagnosis increases the risk for morbidity and mortality.
Keywords: ectopic pregnancy; hysterectomy; tubal pregnancy; vaginal-peritoneal fistula.