{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:44:17Z","timestamp":1786977857791,"version":"build-2736575974"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,11,30]],"date-time":"2017-11-30T00:00:00Z","timestamp":1512000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>An ectopic pregnancy after hysterectomy is a rare but potentially life\u2010threatening event. Women with this condition might not be appropriately investigated, resulting in delays in diagnosis and treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To characterize cases of ectopic pregnancy occurring after hysterectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Search strategy<\/jats:title>\n                    <jats:p>PubMed, Embase, Scopus, and Web of Science were searched using the terms \u201cpregnancy, abdominal\u201d or \u201cpregnancy, tubal\u201d or \u201cpregnancy, ectopic\u201d and \u201chysterectomy\u201d or \u201cpost\u2010hysterectomy\u201d or \u201cpost hysterectomy.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Selection criteria<\/jats:title>\n                    <jats:p>\n                      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 \u03b2\u2010human chorionic gonadotropin (\u03b2\u2010\n                      <jats:styled-content style=\"fixed-case\">hCG<\/jats:styled-content>\n                      ) testing, ultrasonography evidence of pregnancy, or histology.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data collection and analysis<\/jats:title>\n                    <jats:p>Patient characteristics were extracted via a standard spreadsheet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      A high index of suspicion and a low threshold for performing a \u03b2\u2010\n                      <jats:styled-content style=\"fixed-case\">hCG<\/jats:styled-content>\n                      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.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.12385","type":"journal-article","created":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T01:06:45Z","timestamp":1510189605000},"page":"159-165","source":"Crossref","is-referenced-by-count":9,"title":["A systematic review of ectopic pregnancy after hysterectomy"],"prefix":"10.1002","volume":"141","author":[{"given":"Emily X.","family":"Shao","sequence":"first","affiliation":[{"name":"Faculty of Medicine The University of Queensland  St Lucia Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendra","family":"Hopper","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Department Redcliffe Hospital  Redcliffe Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"McKnoulty","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Department Redcliffe Hospital  Redcliffe Qld Australia"},{"name":"School of Medicine Griffith University  Southport Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alka","family":"Kothari","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland  St Lucia Qld Australia"},{"name":"Obstetrics and Gynaecology Department Redcliffe Hospital  Redcliffe Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,30]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"210","article-title":"Ein Fall von Tubenschwangerschaft nach Extirpatio uteri vaginalis","volume":"2","author":"Wendler P","year":"1895","journal-title":"Monatsschr Geburtshilfe Gynakol"},{"key":"e_1_2_8_3_1","first-page":"9","article-title":"Pregnancy following hysterectomy","volume":"46","author":"Grigg WE","year":"1920","journal-title":"V Med Mon"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1982.01380310068016"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.03.039"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)01932-4"},{"key":"e_1_2_8_7_1","first-page":"826","article-title":"Tubal pregnancy after vaginal hysterectomy","volume":"64","author":"Salmi TT","year":"1984","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2535"},{"key":"e_1_2_8_9_1","first-page":"366","article-title":"Pregnancies after hysterectomies. 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