Abstract
Ectopic pregnancy after bilateral salpingectomy is rare and is therefore easily misdiagnosed.
To provide information regarding the clinical manifestations, diagnosis, management,
mechanism and prognosis of this condition, we reviewed all cases reported in the English
literature. All English language reports on ectopic pregnancy after bilateral salpingectomy
were retrieved from the PubMed database. A total of 19 English language articles were
collected and 20 cases of ectopic pregnancy were reported. Eleven of the 19 patients
had a history of tubal pregnancy on one or both sides. All of these pregnancies were
by IVF-ET. The site of ectopic pregnancy was the tubal stump in 8 cases, the abdominal
cavity in 4 cases, the ovary in 3 cases, the retroperitoneum in 3 cases, and the uterine
cornua in 2 cases. All patients underwent successful resection of the ectopic pregnancy,
of which 10 were laparoscopic surgery and 10 were laparotomy. Six of 8 cases of heterotopic
pregnancy were successful gestation to the last trimester and were delivered after
treatment. Ectopic pregnancy is still possible following IVF-ET after bilateral salpingectomy.
The location of these ectopic pregnancies is complex and it is necessary to beware
of the possibility of a heterotopic pregnancy.
Keywords
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Article info
Publication history
Published online: August 29, 2020
Accepted:
August 27,
2020
Received in revised form:
August 18,
2020
Received:
April 6,
2020
Identification
Copyright
© 2020 Elsevier B.V. All rights reserved.
