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Review article: Late post-hysterectomy ectopic pregnancy

Show simple item record Saad Aldin E. Saadeh J. Ghulmiyyah L. Hitti E.
dc.contributor.editor Jun-2012 2017-10-05T15:46:52Z 2017-10-05T15:46:52Z 2012
dc.identifier 10.1111/j.1742-6723.2012.01543.x
dc.identifier.issn 17426731
dc.description.abstract Ectopic pregnancy after hysterectomy is a rare but potentially life-threatening condition requiring prompt diagnosis to prevent the increased mortality associated with rupture. Twenty-seven cases of late post-hysterectomy ectopic pregnancy reported in the English literature since 1918 were reviewed and analysed for presenting symptoms, missed diagnosis rate at initial presentation, location of ectopic and rupture rate at diagnosis. The presenting symptoms were found to be non-specific. The diagnosis in this population is twice more likely to be missed than in women with intact uteri. The rupture rate is 63percent, compared with 37percent in women with intact uteri. The majority of late post-hysterectomy ectopic pregnancies (62percent) were located in the fallopian tubes. Because of the potential risk of mortality, emergency physicians should always consider the possibility of ectopic pregnancy in childbearing women whose surgical history includes hysterectomy without oophorectomy. Evaluation of abdominal pain in this population should include a pregnancy test to ensure prompt diagnosis when the possibility of pregnancy exists clinically. © 2012 The Authors. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
dc.format.extent Pages: (239-243)
dc.language English
dc.publisher HOBOKEN
dc.relation.ispartof Publication Name: EMA - Emergency Medicine Australasia; Publication Year: 2012; Volume: 24; no. 3; Pages: (239-243);
dc.source Scopus
dc.title Review article: Late post-hysterectomy ectopic pregnancy
dc.type Review
dc.contributor.affiliation Saad Aldin, E., Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Saadeh, J., Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Ghulmiyyah, L., Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Hitti, E., Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Hitti, E.; Department of Emergency Medicine, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El-Solh, Beirut 1107 2020, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Obstetrics and Gynecology;
dc.contributor.authorDepartment Obstetrics and Gynecology
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Aldin, ES
dc.contributor.authorInitials Saadeh, J
dc.contributor.authorInitials Ghulmiyyah, L
dc.contributor.authorInitials Hitti, E
dc.contributor.authorReprintAddress Hitti, E (reprint author), Amer Univ Beirut, Dept Emergency Med, Med Ctr, POB 11-0236, Beirut 11072020, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 4
dc.description.citedTotWOSCount 2
dc.description.citedWOSCount 2
dc.format.extentCount 5
dc.identifier.coden EMAMC
dc.identifier.pubmedID 22672163
dc.identifier.scopusID 84861912893
dc.publisher.address 111 RIVER ST, HOBOKEN 07030-5774, NJ USA
dc.relation.ispartOfISOAbbr Emerg. Med. Australas.
dc.relation.ispartOfIssue 3
dc.relation.ispartofPubTitle EMA - Emergency Medicine Australasia
dc.relation.ispartofPubTitleAbbr EMA Emerg. Med. Australas.
dc.relation.ispartOfVolume 24
dc.source.ID WOS:000304715500005
dc.type.publication Journal
dc.subject.otherAuthKeyword Diagnosis
dc.subject.otherAuthKeyword Ectopic pregnancy
dc.subject.otherAuthKeyword Hysterectomy
dc.subject.otherAuthKeyword Review
dc.subject.otherIndex abdominal hysterectomy
dc.subject.otherIndex abdominal pain
dc.subject.otherIndex ectopic pregnancy
dc.subject.otherIndex human
dc.subject.otherIndex hysterectomy
dc.subject.otherIndex Medline
dc.subject.otherIndex nausea and vomiting
dc.subject.otherIndex ovary
dc.subject.otherIndex peer review
dc.subject.otherIndex pelvis pain syndrome
dc.subject.otherIndex priority journal
dc.subject.otherIndex review
dc.subject.otherIndex uterine cervix
dc.subject.otherIndex uterine tube
dc.subject.otherIndex uterine tube ligation
dc.subject.otherIndex vagina
dc.subject.otherIndex vagina discharge
dc.subject.otherIndex vaginal hysterectomy
dc.subject.otherIndex Abdominal Pain
dc.subject.otherIndex Diagnosis, Differential
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Hysterectomy
dc.subject.otherIndex Pregnancy
dc.subject.otherIndex Pregnancy, Ectopic
dc.subject.otherIndex Rupture
dc.subject.otherKeywordPlus VAGINAL HYSTERECTOMY
dc.subject.otherKeywordPlus TUBAL PREGNANCY
dc.subject.otherKeywordPlus SUPRACERVICAL HYSTERECTOMY
dc.subject.otherKeywordPlus AUSTRALIA
dc.subject.otherWOS Emergency Medicine

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