ECTOPIC PREGNANCY AFTER TWO TIMES TUBAL LIGATION: A CASE REPORT

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KEYPOUR FARIDEH; NAGHI ILANA

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Paper Information

Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2013 | Volume:71 | Issue:3 Page(s): 203-207

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Title

ECTOPIC PREGNANCY AFTER TWO TIMES TUBAL LIGATION: A CASE REPORT

Author(s)

KEYPOUR FARIDEH | NAGHI ILANA | Issue Writer Certificate

Keywords

ACUTE ABDOMENQ2

ECTOPIC PREGNANCYQ2

PARKLAND METHODQ2

POMEROY METHODQ2

TUBAL LIGATIONQ2

Abstract

Background: Tubal sterilization is the permanent and effective contraception method.This can be performed at any time, but at least half are performed in conjunction with cesarean or vaginal delivery and are termed puerperal. The most complication after TUBAL LIGATION is ECTOPIC PREGNANCY. ECTOPIC PREGNANCY is the leading cause of maternal death in first trimester.Case presentation: We present a 33 years old woman gravida5, para4, all normal vaginal delivery, presented with complaints of delayed menstrual period, pelvic pain and spotting. She underwent TUBAL LIGATION for two times. For the first time she had puerperal Pomeroy tubal sterilization after third child delivery. Intra uterine pregnancy occurred three years later. One day after vaginal delivery of fourth child, she underwent post partum TUBAL LIGATION with the PARKLAND METHOD. Tubal pregnancy occurred nine months later. Physical examination identified ACUTE ABDOMEN. Pelvic ultrasound showed no gestational sac in uterine cavity. The sac with fetal pole was in right adnexa. Beta- HCG was 2840mIU/ml. She underwent laparotomy. Surgical management included salpingectomy with cornual resection in both sides. The surgery identified ECTOPIC PREGNANCY.Conclusion: Any symptoms of pregnancy in a woman after TUBAL LIGATION must be investigated; an ECTOPIC PREGNANCY should be excluded. ECTOPIC PREGNANCY must be considered, in any woman with lower abdominal pain, missed period and vaginal bleeding.Conception after tubal sterilization can be explained by fistula formation and recanalization of fallopian tube.

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APA: Copy

KEYPOUR, FARIDEH, & NAGHI, ILANA. (2013). ECTOPIC PREGNANCY AFTER TWO TIMES TUBAL LIGATION: A CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 71(3), 203-207. SID. https://sid.ir/paper/38337/en

Vancouver: Copy

KEYPOUR FARIDEH, NAGHI ILANA. ECTOPIC PREGNANCY AFTER TWO TIMES TUBAL LIGATION: A CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2013;71(3):203-207. Available from: https://sid.ir/paper/38337/en

IEEE: Copy

FARIDEH KEYPOUR, and ILANA NAGHI, “ECTOPIC PREGNANCY AFTER TWO TIMES TUBAL LIGATION: A CASE REPORT,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 71, no. 3, pp. 203–207, 2013, [Online]. Available: https://sid.ir/paper/38337/en

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