Recurrent Distal Ipsilateral Ectopic Pregnancy : A Case Report and Literature Review

Background: Ipsilateral recurrence after salpingectomy is rare, but delay in diagnosis can result in rupture and potentially life-threatening hemorrhaging. Because of the paucity of data, there are various methods by which ipsilateral recurrent ectopic pregnancies have been managed. It may be possible to decrease the incidence of such pregnancies further with complete removal of the Fallopian tubes at primary surgery. Case: This article presents a rare case of repeat ipsilateral ectopic pregnancy in the distal remnant part of the Fallopian tube following laparoscopic salpingectomy. A complete salpingectomy to remove the ectopic pregnancy and the fimbrial end of the affected Fallopian tube was performed. A brief literature review is provided regarding similar cases. Results: This patient’s postoperative recovery was uneventful, and she was discharged on the following day. The histopathology results confirmed the presence of products of conception in the fimbrial end of her Fallopian tube. Conclusions: Early diagnosis and immediate management of recurrent ipsilateral ectopic pregnancy are imperative for minimizing morbidity and mortality. Every effort should be made to excise the entire affected Fallopian tube AU2c during the primary salpingectomy, so that there are no remnants that may become the sites of any possible future ectopic pregnancies. ( J GYNECOL SURG 29:XX)