Case Report of Ectopic Pregnancy Occurring in the Tubal Stump after a Previous Salpingectomy

Abstract

Tubal stump ectopic pregnancy is rare but a potentially life-threatening condition. A high index of suspicion is required for early diagnosis and effective treatment, thereby minimising morbidity associated with this type of abnormal pregnancy. The aim of this report was to document a rare case of repeat ectopic pregnancy in the tubal stump following previous salpingectomy. We report a 35-year-old para 1+1 with one living child who had one previous right salpingectomy for ruptured right ectopic pregnancy. She presented with complaint of abdominal pain of one-day duration following a five-week history of absent menstruation. On presentation, she was in shock and there were features of intra-abdominal fluid (blood) collection. Abdominopelvic ultrasound scan demonstrated intraperitoneal fluid collection with floating loops of bowel. She was resuscitated, had salpingectomy for ruptured tubal stump ectopic pregnancy, and remained stable on follow-up. In conclusion, tubal stump ectopic pregnancy is a rare but possible complication of a previous salpingectomy. A high index of suspicion is required for early diagnosis and effective management.