Logo image
Back
Pregnancy following total hysterectomy
Journal article   Peer reviewed

Pregnancy following total hysterectomy

Jennifer Robinson Niebyl
American Journal of Obstetrics and Gynecology, Vol.119(4), pp.512-515
06/15/1974
DOI: 10.1016/0002-9378(74)90211-7
PMID: 4841447

View Online

Abstract

Twenty-one cases of pregnancy following total hysterectomy are reviewed. Fourteen followed vaginal and seven followed abdominal hysterectomies. Twelve presented as immediate postoperative complications (the early ectopic) and nine presented many months or years later (the late ectopic). The clinical course was typical for ectopic pregnancy but therapy was delayed because this diagnosis was rarely considered. In the early cases the surgery had been done between days 16 and 19 of the menstrual cycle. The embryonic sizes suggested that the fertilized ovum had been in the tube at the time of the hysterectomy and its passage had been blocked by the tubal ligature. The patients were treated for presumed postoperative infection despite normal temperatures and leukocyte counts. A tender adnexal mass was noted only after several weeks, in contrast to the usual earlier presentation of inflammatory masses. Pregnancy test was positive in the two cases tested
 Pregnancy Sterilization Obstetrics and Gynecology Abdomen Adult Female Fertilization Humans Hysterectomy Pregnancy Tests Tubal/complications/diagnosis/epidemiology Rupture Spontaneous Reproductive Time Factors Vagina

Details

Metrics

12 Record Views
20 Times Cited - Web of Science
Logo image