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.
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机译:同侧输卵管切除术后残留输卵管反复异位妊娠在临床上很少见。我们报告了极少见的第三次复发性异位妊娠的病例,此前两次涉及输卵管的输卵管切除术均已完成。一名26岁妇女gravida 3 para 0,因自然受孕而经历了3次异位妊娠,所有这些均通过外科手术治疗(右部分输卵管切除术,右残管切除术和左全输卵管切除术)。在涉及右管的两个输卵管切除术过程中,术中使用靛蓝胭脂红确认了完整的左管的通畅性。处理复发性异位妊娠时应讨论最合适的手术干预。可能有必要进行全输卵管切除术,以减少剩余管子将来复发的风险。
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