Recurrent ipsilateral ectopic pregnancy after partial salpingectomy: case-report

Tanjona Andriamanetsiarivo Ratsiatosika, Romuald Randriamahavonjy, Baco Abdallah Abasse, Mahefarisoa Fnat, Ibrahim Housni, Rakotovao Hery Andrianampanalinarivo


Ectopic pregnancy is a life-threatening condition occurring in 1-2% of all pregnancies. The most common site of implantation for an ectopic pregnancy is the fallopian tube. Authors report a case of recurrent ipsilateral ectopic pregnancy following right partial salpingectomy of a 29-Year-Old woman that led to tubal rupture. The pregnancy was conceived spontaneously. Diagnostic of ruptured ectopic pregnancy was done after clinical and ultrasonography examination. The presence of a massive hemoperitoneum with a positive pregnancy urinary test that lead us to the diagnosis of ectopic pregnancy. She underwent a laparotomy for a suspicion of ruptured ectopic pregnancy. The ectopic pregnancy was identified in the left remnant fallopian tube. Partial salpingectomy, removal of tubal stump, and resection of the uterine cornua, was performed. The postoperative recovery was uneventful. She has stayed for five days at the Hospital. All patients, even though they have already received a definitive contraception by tubal section and ligature or unilateral or by bilateral salpingectomy for any reason, must seek an ectopic pregnancy in case of pelvic pain, vaginal bleeding and/ or amenorrhea. Authors propose to carry a total salpingectomy after a chosen surgical treatment.


Ectopic pregnancy, Laparotomy, Salpingectomy, Tubal pregnancy

Full Text:



Farquhar CM. Ectopic pregnancy. Lancet. 2005;366:583.

Barnhart K. Ectopic pregnancy. N Engl J Med. 2009;361:379-87.

Teresa C, Longoria MD, Megan L, Stephenson MD, Vinita J, Speir MD. Live Unilateral Twin Ectopic pregnancy in a fallopian tube remnant after previous ipsilateral salpingectomy. J Clinical Ultrasound. 2014;42(3):169-71.

De Bennetot M, Rabischong B, Aublet-Cuvelier B, Belard F, Fernandez H, Bouyer J et al. Facteurs de risque de récidive des grossesses extra-utérines. J Gynecol Obstet Biol Reprod. 2012;45:55-61.

Fruscella L, Danti M, Toti R. Extrauterine pregnancy in residual tube stump in a patient already treated with partial salpingectomy for right ampullar pregnancy. Report of a clinical case. Minerva Ginecol. 1994;46:695-7.

Takeda A, Manabe S, Mitsui T, Nakamura H. Spontaneous ectopic pregnancy occurring in the isthmic portion of the remnant tube after ipsilateral adnexectomy: report of two cases. J Obstet Gynaecol Res. 2006;32:190-4.

Cartwright PS, Entman SS. Repeat ipsilateral tubal pregnancy following partial salpingectomy: a case report. Fertil Steril. 1984;42:647-8.

Chou SY, Ming IH, Pui-ki C, Chiang HK, Su HW, Hsu CS. Recurrent ipsilateral ectopic pregnancy after partial salpingectomy. Taiwan J Obstet Gynecol. 2009;48(4):420-2.

Zuzarte R, Khong CC. Recurrent ectopic pregnancy following ipsilateral partial salpingectomy Singapore Med J. 2005;46(9):476.

Milingos DS, Black M, Bain C. Three Surgically Managed Ipsilateral Spontaneous Ectopic Pregnancies. Am College Obstetr Gynecol. 2008;112:458-9.

Chou SY, Ming IH, Pui-ki C, Chiang HK, Su HW, Hsu CS. Recurrent ipsilateral ectopic pregnancy after partial salpingectomy. Taiwan J Obstet Gynecol. 2009; 48(4):420-2.

Abraham C, Seethappan V. Spontaneous live recurrent ectopic pregnancy after ipsilateral partial salpingectomy leading to tubal rupture. Int J Surg Case Reports. 2015;7:75-8.

Tan TL, Elashry A, Tischner I, Jolaoso A. Lightning does strike twice: Recurrent ipsilateral tubal pregnancy following partial salpingectomy for ectopic pregnancy. 2007;27:534-5.