A 14-week abdominal pregnancy after total abdominal hysterectomy

Amanda Nickles Fader, Suketu Mansuria, Richard S. Guido, Harold C. Wiesenfeld

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Pregnancy after hysterectomy is rare. Because this clinical phenomenon is so uncommon, the diagnosis is not always considered in the evaluation of pain in a reproductive-aged woman after hysterectomy. Delay in diagnosis can result in potentially catastrophic intra-abdominal bleeding. CASE: A 31-year-old multigravida underwent a total abdominal hysterectomy for menometrorrhagia. She experienced several weeks of postoperative abdominal pain and ultimately was diagnosed with a 14-week size intra-abdominal pregnancy. Surgical evacuation of the fetus and products of conception were complicated by significant intra- operative bleeding. CONCLUSION: In reproductive-aged women undergoing hysterectomy, it is vital to obtain preoperative urine hCG levels immediately before surgery and to consider ectopic pregnancy in the differential diagnosis of these women when severe or persistent abdominal pain occurs postoperatively.

Original languageEnglish (US)
Pages (from-to)519-521
Number of pages3
JournalObstetrics and gynecology
Volume109
Issue number2 PART 2 SUPPL.
DOIs
StatePublished - Feb 1 2007
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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