Ectopic pregnancy after tubectomy (a case report)
Saxena, N.
Patna Journal of Medicine 61(4): 73-74
1987
ISSN/ISBN: 0031-3084 PMID: 12282908 Document Number: 367523
2 cases of ectopic pregnancy after tubal sterilization were diagnosed at the Patna Medical College Hospital in 1986. One woman was 28 years old, para 4, and had pain for 15 days and vaginal bleeding for 1 month. She has undergone a hysterotomy and ligation 2 years before. Sonography revealed a cystic mass to the left of the uterus. The mass enlarged with time. Laparotomy revealed hemoperitoneum and a ruptured left tube distal to the ligation. Another woman, aged 25, para 4, was admitted with severe pain of 12 days duration. A mass was felt in the left posterior fornix. She was initially treated with antibiotics and antiinflammatory agents. Sonography showed a gestation sac, and laparotomy revealed a ruptured left tube and hemoperitoneum. The increasing numbers of reports of ectopic pregnancy in previously sterilized women should be noted, and related to the growing numbers of sterilized women in the world today.