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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| Formato: | Artículo |
| Lenguaje: | inglés |
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2025
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| _version_ | 1881700493703512064 |
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| author | Digna Felicia Pantigoso-Gutierrez Margarita Eli Oscátegui-Peña |
| author_browse | Digna Felicia Pantigoso-Gutierrez Margarita Eli Oscátegui-Peña |
| author_facet | Digna Felicia Pantigoso-Gutierrez Margarita Eli Oscátegui-Peña |
| author_sort | Digna Felicia Pantigoso-Gutierrez |
| collection | Producción científica |
| description | 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. |
| format | Article |
| id | openalex:W4416320409 |
| institution | UPeU |
| language | English |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
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| spelling | openalex:W4416320409Ruptured ectopic pregnancy after tubal sterilization: case reportDigna Felicia Pantigoso-GutierrezMargarita Eli Oscátegui-Peñaruptured ectopic pregnancytubal ligationpostpartum sterilizationPomeroy techniquepregnancy after sterilizationhemoperitoneumtransvaginal ultrasoundexploratory laparotomyEctopic Pregnancy Diagnosis and ManagementReproductive Health and ContraceptionReproductive Health and TechnologiesAbstract 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.Articlehttps://doi.org/10.1590/1806-9304202500000160-enW4416320409enRevista Brasileira de Saúde Materno Infantil1519-38291806-38291806-93042025-01-01 |
| spellingShingle | ruptured ectopic pregnancy tubal ligation postpartum sterilization Pomeroy technique pregnancy after sterilization hemoperitoneum transvaginal ultrasound exploratory laparotomy Ectopic Pregnancy Diagnosis and Management Reproductive Health and Contraception Reproductive Health and Technologies Digna Felicia Pantigoso-Gutierrez Margarita Eli Oscátegui-Peña Ruptured ectopic pregnancy after tubal sterilization: case report |
| title | Ruptured ectopic pregnancy after tubal sterilization: case report |
| title_full | Ruptured ectopic pregnancy after tubal sterilization: case report |
| title_fullStr | Ruptured ectopic pregnancy after tubal sterilization: case report |
| title_full_unstemmed | Ruptured ectopic pregnancy after tubal sterilization: case report |
| title_short | Ruptured ectopic pregnancy after tubal sterilization: case report |
| title_sort | ruptured ectopic pregnancy after tubal sterilization case report |
| topic | ruptured ectopic pregnancy tubal ligation postpartum sterilization Pomeroy technique pregnancy after sterilization hemoperitoneum transvaginal ultrasound exploratory laparotomy Ectopic Pregnancy Diagnosis and Management Reproductive Health and Contraception Reproductive Health and Technologies |
| topic_facet | ruptured ectopic pregnancy tubal ligation postpartum sterilization Pomeroy technique pregnancy after sterilization hemoperitoneum transvaginal ultrasound exploratory laparotomy Ectopic Pregnancy Diagnosis and Management Reproductive Health and Contraception Reproductive Health and Technologies |
| url | https://doi.org/10.1590/1806-9304202500000160-en |
| work_keys_str_mv | AT dignafeliciapantigosogutierrez rupturedectopicpregnancyaftertubalsterilizationcasereport AT margaritaelioscateguipena rupturedectopicpregnancyaftertubalsterilizationcasereport |