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dc.contributor.authorShao, Emilyen_US
dc.contributor.authorHopper, Kendraen_US
dc.contributor.authorMcKnoulty, Matthewen_US
dc.contributor.authorKothari, Alkaen_US
dc.description.abstractBackground: An ectopic pregnancy after hysterectomy is a rare but potentially lifethreatening event. Women with this condition might not be appropriately investigated, resulting in delays in diagnosis and treatment. Objectives: To characterize cases of ectopic pregnancy occurring after hysterectomy. Search strategy: PubMed, Embase, Scopus, and Web of Science were searched using the terms “pregnancy, abdominal” or “pregnancy, tubal” or “pregnancy, ectopic” and “hysterectomy” or “post-hysterectomy” or “post hysterectomy.” Selection criteria: Case reports or case series published in English up to October 10, 2016, were included. Patients were included if the diagnosis was confirmed by definitive tests such as serum or urine β-human chorionic gonadotropin (β-hCG) testing, ultrasonography evidence of pregnancy, or histology. Data collection and analysis: Patient characteristics were extracted via a standard spreadsheet. Main results: A total of 57 patients were included in the analysis. Abdominal pain was the predominant symptom. Implantation in a remaining fallopian tube was common. Most patients were managed surgically. Conclusions: A high index of suspicion and a low threshold for performing a β-hCG pregnancy test is recommended in all women presenting with clinical symptoms of ectopic pregnancy, regardless of the hysterectomy status. This could lead to earlier diagnosis and fewer complications.en_US
dc.publisherWiley-Blackwell Publishingen_US
dc.publisher.placeUnited Kingdomen_US
dc.relation.ispartofjournalInternational Journal of Gynecology & Obstetricsen_US
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine not elsewhere classifieden_US
dc.subject.fieldofresearchPaediatrics and Reproductive Medicineen_US
dc.titleA systematic review of ectopic pregnancy after hysterectomyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dc.type.codeC - Journal Articlesen_US
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.en_US
gro.hasfulltextNo Full Text
gro.griffith.authorMcKnoulty, Matthew J.

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