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Case ReportOpen Access
Intra-and Extra-Uterine Pregnancies Following Repeated Sterilization in a Case of HIV Seropositive Patient
Kovavisaraclz E 
,
Jaravechson S
,
Jaravechson S A 24-year-old woman, HIV seropositive, LMP ten weeks previously, para 2-0-0-2.
presented with complaints of left sided pelvic pain. Her previous pregnancies were terminated hy
cesarean section with tubal sterilization (Pomeroy technique) in the first pregnancy and by cesarean
section with repeated tubal sterilization (Pomeroy technique) in the second one. The pelvic
examination revealed cervical motion tenderness and a tender sausage-like mass of about 3 x 4
em in the left adnexa. Both previously ligated fallopian tubes and a hematosalpinx lying distal
to the ligated site of the left tube were revealed in the exploratory laparotomy after a positive
culdocentesis. Bilateral salpingectomy was performed. The histological examination confirmed the
diagnosis of tubal pregnancy in the left tube and the status post tubal sterilization in the right one.
The postoperative course was uneventful.
Key word : Extrauterine Pregnancy, Repeated Sterilization, HIV Seropositive
presented with complaints of left sided pelvic pain. Her previous pregnancies were terminated hy
cesarean section with tubal sterilization (Pomeroy technique) in the first pregnancy and by cesarean
section with repeated tubal sterilization (Pomeroy technique) in the second one. The pelvic
examination revealed cervical motion tenderness and a tender sausage-like mass of about 3 x 4
em in the left adnexa. Both previously ligated fallopian tubes and a hematosalpinx lying distal
to the ligated site of the left tube were revealed in the exploratory laparotomy after a positive
culdocentesis. Bilateral salpingectomy was performed. The histological examination confirmed the
diagnosis of tubal pregnancy in the left tube and the status post tubal sterilization in the right one.
The postoperative course was uneventful.
Key word : Extrauterine Pregnancy, Repeated Sterilization, HIV Seropositive
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