Ectopic gestation in a tubal stump

Krzaniak, S.

doi:10.1136/pgmj.44.508.191

Cited by 6 publications

(7 citation statements)

References 1 publication

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“…Repeated ectopic pregnancy on the residual tubal stump after salpingectomy has been sporadically reported after traditional surgery [1,2] but is unusual after laparoscopy. Rizos et al [3] reported a left cornual ectopic pregnancy after laparoscopic partial salpingectomy with endo-loop ligation which was subsequently treated with laparotomy.…”

Section: Introductionmentioning

confidence: 99%

Repeated ectopic pregnancy on the tubal stump after laparoscopic salpingectomy

Chien

Liang

2005

Gynecol Surg

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Section: Introductionmentioning

confidence: 99%

Repeated ectopic pregnancy on the tubal stump after laparoscopic salpingectomy

Chien

Liang

2005

Gynecol Surg

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“…Ectopic pregnancy (EP) implantation on the tubal stump after salpingectomy is a rare location for extrauterine pregnancy. The diagnostic criteria are not well established; however, it usually refers to implantation in the isthmic portion of the remnant tube after previous salpingectomy 1–9 . The nomenclature used to define stump pregnancy is inconsistent 1–9 .…”

Section: Introductionmentioning

confidence: 99%

“…The diagnostic criteria are not well established; however, it usually refers to implantation in the isthmic portion of the remnant tube after previous salpingectomy 1–9 . The nomenclature used to define stump pregnancy is inconsistent 1–9 . It has been sporadically described in case reports 1–8 and case series 9 and constitutes 0.4%–1.2% of all EP 1,9 …”

Section: Introductionmentioning

confidence: 99%

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Tubal stump pregnancy after salpingectomy—Does the time interval from surgical intervention to conception matter?

Melcer

Naaman

Hausman

et al. 2021

J of Obstet and Gynaecol

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Aim Ectopic pregnancy implantation on the tubal stump after salpingectomy is a rare location for extrauterine pregnancy, whose pathogenesis is still unknown. The purpose of this study was to examine whether the time interval elapsed from salpingectomy may predispose the embryo to implantation on the tubal stump in the next pregnancy subsequent to tube removal. Methods Nine women operated for stump pregnancy (study group) between 2008 and 2019 were retrospectively identified. For each case in the study group, 12 consecutive cases that underwent laparoscopic salpingectomy constituted the control group. A sample size of 100 control patients was calculated to achieve statistical power (97.8%) and an α of 0.05. The control groups were triple‐matched with the study group for patients' age, indications for salpingectomy (tubal pregnancy or hydrosalpinx prior to in vitro fertilization treatment) and mode of conception of the subsequent pregnancy following salpingectomy. Results Nine women underwent surgery for stump pregnancy during the study period. All women had a surgical history of laparoscopic salpingectomy. The time interval from prior salpingectomy to subsequent pregnancy was significantly shorter in study group than in the control group (4.3 ± 2.1 months vs. 15.6 ± 13.7 months, respectively, p = 0.016). Conclusion A possible association between the short time interval from prior salpingectomy to ectopic implantation on the tubal stump in the subsequent pregnancy was found. The clinical implications of these findings and in particular whether patients should be advised to wait at least 4 months from the salpingectomy to the subsequent pregnancy remain unclear.

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“…In the vast majority of the cases the embryo prematurely implants itself in the fallopian tube before arriving in the uterine cavity. Only in approximately 2% of the cases EP occur in different regions such as the cervix, the ovary or the abdominal cavity [1][2][3][4][5]. An atypical and insidious severe event is that the embryo migrates from the uterine cavity to the contralateral tube.…”

Section: Introductionmentioning

confidence: 99%

Tubal Stump Pregnancy in ART Patients Two cases of ectopic stump pregnancy after IVF-ET

Tucci¹,

Carlo²,

Iacobelli³

et al. 2018

BJSTR

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Ectopic pregnancy (EP) is a complication of pregnancy in which the embryo attaches outside the uterus. The rate of ectopic pregnancy is about 1 and 2% that of live births, though it may be as high as 4% among those using assisted reproductive technology (ART). We present two cases of interstitial stump pregnancies in patients who previously underwent salpingectomy for ectopic pregnancies, and a review of the literature. One patient has been treated with methotrexate (MTX) before the removal of the tubal stump, while the second has gone directly to laparoscopic (LPS) surgery. Transvaginal ultrasound examination is essential for early and accurate management of this condition. It should be quickly performed to rule out a stump interstitial pregnancy in women who conceive by ART after bilateral salpingectomy. A correct attitude towards this condition is not yet internationally standardized and both medical and surgical options should be promptly considered.

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Ectopic gestation in a tubal stump

Cited by 6 publications

References 1 publication

Repeated ectopic pregnancy on the tubal stump after laparoscopic salpingectomy

Repeated ectopic pregnancy on the tubal stump after laparoscopic salpingectomy

Tubal stump pregnancy after salpingectomy—Does the time interval from surgical intervention to conception matter?

Tubal Stump Pregnancy in ART Patients Two cases of ectopic stump pregnancy after IVF-ET

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