ABSTRACT
An unusual case of a second ipsilateral ectopic pregnancy following a partial (proximal) salpingectomy for ectopic gestation is presented in a 32-year-old woman with a history of secondary infertility. This occurred in the distal remnant of the left fallopian tube. It is postulated that the pregnancy was conceived following migration of spermatozoa or the fertilised egg from the endometrial cavity to the distal remnant of the left fallopian tube or by passage of spermatozoa through the intact right fallopian tube and the pouch of Douglas. Consequent to the maintenance of a high index of suspicion of ectopic pregnancy, there was early diagnosis and expedient surgical intervention on both occasions.
Subject(s)
Fallopian Tubes/surgery , Laparoscopy , Pregnancy, Tubal/diagnosis , Adult , Diagnosis, Differential , Female , Humans , Pregnancy , Pregnancy, Tubal/diagnostic imaging , Pregnancy, Tubal/pathology , Pregnancy, Tubal/surgery , Recurrence , Risk Assessment , Risk Factors , UltrasonographyABSTRACT
Primary reticuloendothelial disease of the genital tract is an extremely rare condition. We encountered one such patient with diffuse large cell malignant lymphoma of the cervix uteri who presented with irregular vaginal bleeding. After complete haematological and radiological investigations, satisfactory treatment of the Stage I disease was achieved with total hysterectomy, bilateral salpingo-oophorectomy and post-operative pelvic irradiation.
