A primary omental pregnancy after unilateral salpingectomy and unilateral tubal ligation

Liu, Yang; Zhou, Ying; Luo, Songping

doi:10.1016/j.tjog.2015.10.015

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…According to the literature, whether spermatozoa migrate into the abdominal cavity via the cornual fistulous tract remains unclear. 2 Additionally, Yang et al reported a patient who underwent right salpingectomy due to right fallopian EP and developed an omental pregnancy after left tubal ligation. 2 It has been speculated that the postoperative fallopian tube stumps may spontaneously reperfuse or form a fistula, making it possible for the uterine cavity to communicate with the retroperitoneal cavity.…”

Section: Discussionmentioning

confidence: 99%

“… 2 Additionally, Yang et al reported a patient who underwent right salpingectomy due to right fallopian EP and developed an omental pregnancy after left tubal ligation. 2 It has been speculated that the postoperative fallopian tube stumps may spontaneously reperfuse or form a fistula, making it possible for the uterine cavity to communicate with the retroperitoneal cavity. 18 Ching-Min Lin et al reported a rare case of spontaneous right distal tubal pregnancy after bilateral laparoscopic tubal sterilization.…”

Section: Discussionmentioning

confidence: 99%

“… 1 Under most circumstances, EP evolves within the oviduct (95%) and usually occurs within the ampulla (70%). 2 Uncommon sites for implantation include the diaphragm, abdominal and pelvic retroperitoneal cavity, parametrium, iliac vessels, and liver lobes. 3–7 To the best of our knowledge, EP is rare among patients receiving tubal ligation in which a fertilized ovum is implanted in the proximal tube stump (isthmus or interstitial region).…”

Section: Introductionmentioning

confidence: 99%

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Rare Occurrence of Left Ampullary Ectopic Pregnancy After Ligation of the Left Fallopian Tube: A Case Report

Ke¹,

He²,

Zheng³

et al. 2023

IJWH

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Purpose Ectopic pregnancy (EP) is rare among patients having received tubal ligation; in these cases, a fertilized ovum is implanted in the proximal tube stump. Distal tubal EP cases in patients having undergone ipsilateral tubal ligation and who have relatively intact contralateral adnexa are extremely rare. Here, we report a case of pregnancy in the distal stump of the ipsilateral fallopian tube following fallopian tubal isthmus ligation. Case Presentation A 28-year-old woman was admitted after having experienced lower abdominal pain for 10 days and amenorrhea for 1 week and receiving a transvaginal color ultrasonography finding of a heterogeneous echo (2.1 × 1.2 × 1.4 cm) near the left ovary. The patient had a medical history of transvaginal left tubal ligation under single-port laparoscopy for a left hydrosalpinx. Postoperatively, the patient had undergone in vitro fertilization for assisted reproduction. After ovum retrieval, whole-embryo cryopreservation had been performed due to the ovarian hyperstimulation syndrome trend. This pregnancy was natural after embryo cryopreservation. After the patient was admitted, laparoscopic exploration revealed an elevated ampulla in the distal stump of the left fallopian tube. Left salpingectomy with removal of the ectopic pregnancy in the distal remnant tube was performed under the guidance of transvaginal single-port laparoscopy. Serum β-human chorionic gonadotropin levels gradually decreased. Thereafter, the patient underwent two cycles of frozen embryo transfer, both of which resulted in chemical pregnancies. Conclusion This case suggests that gynecologists should pay attention to the possibility of fallopian tube ectopic pregnancy in the distal tubal segment post-tubal ligation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Rare Occurrence of Left Ampullary Ectopic Pregnancy After Ligation of the Left Fallopian Tube: A Case Report

Ke¹,

He²,

Zheng³

et al. 2023

IJWH

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An uncommon spontaneous right distal tubal pregnancy post bilateral laparoscopic sterilization

Lin

Cheng

et al. 2019

Medicine

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Rationale:Tubal sterilization as a contraception method has a high success rate; however, it also carries a low risk of incidental pregnancy. A majority of these pregnancies are ectopic. In this study, we report a rare case of spontaneous right distal tubal pregnancy after bilateral laparoscopic tubal sterilization.Patient concerns:A 36-year-old woman who had undergone bilateral laparoscopic tubal sterilization presented with abdominal pain and a positive test for pregnancy.Diagnosis:Ectopic pregnancy was suspected based on absence of gestational sac in the uterine cavity on ultrasound and elevated beta-human chorionic gonadotropin (β-hCG) level.Intervention:Since the patient had unstable vitals, emergency laparoscopic surgery was performed, which revealed a right distal fallopian tube pregnancy. We performed a complete bilateral residual tubal stump excision.Outcomes:The patient recovered well after surgery, with a reduction in β-hCG level, and was discharged after 3 days.Lessons:To ensure complete sterilization, the gap at the excised end needs to be adequately widened and enhanced with electro-destruction to prevent formation of a fistula.

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Successful laparoscopic treatment of a rare case of omental pregnancy

Sato

Fujishita

Fukushima

et al. 2022

JAPANESE JOURNAL OF JSGOE

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A 26-year-old woman at 7 weeks and 4 days of gestation presented with atypical vaginal bleeding and mild abdominal pain. Transvaginal ultrasound revealed a free hypoechoic area of 10 mm in the pouch of Douglas and a 13-mm thick homogenous endometrium with no evidence of a gestational sac. A mass (46 × 38 mm) was detected outside of the uterine fundus. A T1-weighted MRI was performed, revealing a 4-cm mass between the left side of the fundus and the left ovary.Laboratory results indicated normal blood count values and a human chorionic gonadotropin (hCG) level of 4,393 mIU/ml.Because we suspected an ectopic pregnancy, we performed a laparoscopic exploration. An omental ectopic mass was detected 4 cm from the left fallopian tube. We performed a partial omentectomy using a laparoscopic approach to remove the omental mass. Pathological examination confirmed the diagnosis of an omental ectopic pregnancy with the presence of chorionic villi, blood clots, and adipose tissue. Post-operatively, the patient presented with decreased serum hCG levels and no surgery-related complications. We can use laparoscopy to successfully treat abdominal pregnancies, including rare cases of omental pregnancy.

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A primary omental pregnancy after unilateral salpingectomy and unilateral tubal ligation

Cited by 3 publications

References 4 publications

Rare Occurrence of Left Ampullary Ectopic Pregnancy After Ligation of the Left Fallopian Tube: A Case Report

Rare Occurrence of Left Ampullary Ectopic Pregnancy After Ligation of the Left Fallopian Tube: A Case Report

An uncommon spontaneous right distal tubal pregnancy post bilateral laparoscopic sterilization

Successful laparoscopic treatment of a rare case of omental pregnancy

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