Background: Pregnancy after hysterectomy is very rare, with fewer than 40 cases reported in the English-language literature. The majority of cases are diagnosed in the early posthysterectomy, postoperative period, indicating that the pregnancy was present at the time of hysterectomy. Cases diagnosed remotely from the time of hysterectomy result from a fistulous tract allowing sperm access to the peritoneal cavity.
Case: A 37-year-old woman 6 years since a supracervical cesarean hysterectomy was treated for a ruptured ovarian pregnancy.
Conclusion: A woman with intact ovaries presenting with abdominal pain, despite a prior hysterectomy, should be considered at risk for ectopic pregnancy. The presence of a cervix may increase that risk.