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Case Reports in Obstetrics and Gynecology
Volume 2017, Article ID 1653529, 3 pages
https://doi.org/10.1155/2017/1653529
Case Report

A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube

1Department of Obstetrics and Gynecology, Hashimoto Municipal Hospital, Wakayama, Japan
2Department of Obstetrics and Gynecology, Wakayama Medical University, Wakayama, Japan

Correspondence should be addressed to Naoyuki Iwahashi; pj.ca.dem-amayakaw@ikuyoan

Received 22 September 2016; Accepted 19 December 2016; Published 2 January 2017

Academic Editor: Maria Grazia Porpora

Copyright © 2017 Naoyuki Iwahashi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Recurrent ectopic pregnancy in a remnant fallopian tube after ipsilateral salpingectomy is clinically rare. We report the extremely rare case of a third recurrent ectopic pregnancy after two previous salpingectomy procedures involving the opposite tube. A 26-year-old woman, gravida 3 para 0, experienced three ectopic pregnancies brought about by natural conception, all of which were treated surgically (right partial salpingectomy, right remnant tube resection, and left total salpingectomy). During the two salpingectomy procedures involving the right tube, the patency of the intact left tube was intraoperatively confirmed with indigo carmine. The most appropriate surgical intervention should be discussed when managing recurrent ectopic pregnancies. It might be necessary to perform total salpingectomy to reduce the risk of future recurrence on the remaining tube.