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The study is about ampullar ectopic pregnancy following ipsilateral partial isthmic salpingectomy. An ectopic pregnancy is any pregnancy outside of the uterine cavity. Pregnancies in the fallopian tube account for 97 % of all ectopic pregnancies. Fifty-five percent of these pregnancies occur in the ampulla, 25 % in the isthmus, 17 % in the fimbriae, and 3 % of the pregnancy is situated in the abdominal cavity, ovary, or uterine cervix. Diagnosing an ectopic pregnancy can be difficult; however, the widespread availability of pregnancy tests and the present high-resolution ultrasound possibilities have resulted in earlier diagnosis and have thus reduced the chance of massive intraabdominal bleeding and hypovolemic shock at presentation. We present a rare case of a recurrent ectopic pregnancy, occuring in the distal remnant of the ampulla of the fallopian tube, after a previous partial ipsilateral salpingectomy. This case shows that a strict adherence to the Dutch guideline would probably have led to an earlier detection.

Ampullar ectopic pregnancy following ipsilateral partial isthmic salpingectomy