Pearl without Oyster; Pregnancy without Uterus!

Abstract

Is pregnancy possible after removal of the uterus? Pregnancy is virtually never thought of after hysterectomy. Although rare it is still possible for a reproductive age group woman to conceive after hysterectomy when the tubes and ovaries are left behind. A sperm enter through a fistulous tract in the vaginal vault, fertilize the ovum, implant in the tube and grow. The end result can be catastrophic, if diagnosed late. Fortunately such post-hysterectomy ruptured ectopic gestation is a very rare event; so far only 72 cases have been reported in literature. Here we report a case of ruptured tubal gestation in a 25year old patient after four years of peripartum hysterectomy, who had a successful outcome because of timely diagnosis and early treatment.