Ruptured ectopic pregnancy after tubal sterilization: case report
Abstract Introduction: bilateral tubal sterilization is a method of contraception, and pregnancy after sterilization is uncommon. Description: we present the case of a ruptured ectopic pregnancy following postpartum vaginal tubal sterilization. A 33-year-old woman was admitted after presenting lower...
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| Autores principales: | , |
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| Formato: | Artículo |
| Lenguaje: | inglés |
| Publicado: |
2025
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| Acceso en línea: | Enlace permanente (DOI o Handle) |
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| Sumario: | Abstract Introduction: bilateral tubal sterilization is a method of contraception, and pregnancy after sterilization is uncommon. Description: we present the case of a ruptured ectopic pregnancy following postpartum vaginal tubal sterilization. A 33-year-old woman was admitted after presenting lower abdominal pain for 4 days and amenorrhea for 8 weeks, four pregnancies, four vaginal deliveries, and surgical sterilization using the Pomeroy technique performed during her last delivery seven years ago. The patient was β-subunit positive, and a transvaginal ultrasound showed an empty uterus, a heterogeneous mass measuring 55 x 44 mm below the right ovary, and the presence of abundant fluid. Based on the clinical signs, pregnancy test, and imaging, a right ectopic pregnancy was suspected. An exploratory laparotomy was performed, revealing dark clots and blood, a 2500 cc hemoperitoneum, and a 4 x 5 cm mass on the distal stump with active bleeding at the fimbriae. Discussion: the cause of the ectopic pregnancy after tubal sterilization remains uncertain. The surgical sterilization technique and age at sterilization influence the likelihood of an ectopic pregnancy occurrence. |
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