Recurrent Ectopic Pregnancies Following Bilateral Partial Salpingectomy: A Case Report.

Abstract

Background: Ectopic pregnancies can be a life-threatening condition in early pregnancy. Risk factors include pelvic inflammatory disease, prior ectopic pregnancy, pelvic surgery, and anatomical variations. Although pregnancy after tubal sterilization is uncommon, recurrent ectopic pregnancy after bilateral partial salpingectomy is rare.

Case: A 28-year-old G5P1031 African-American patient who underwent cesarean delivery with bilateral partial salpingectomy. Ten months later, she presented with a right ectopic pregnancy requiring laparoscopic salpingectomy. This was followed by a ruptured left ectopic pregnancy treated with salpingo-oophorectomy 7 months later.

Conclusion: This case highlights the rare but serious risk of recurrent ectopic pregnancy following partial salpingectomy. Residual tubal segments and young age may contribute to this. Clinicians should consider total salpingectomy when feasible to reduce recurrence and improve long-term outcomes.