{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T01:39:21Z","timestamp":1792460361838,"version":"4.5.0"},"reference-count":8,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pregnancy after subtotal hysterectomy is an exceptionally rare but potentially life\u2010threatening condition that may delay diagnosis because pregnancy is often considered impossible. We report a 41\u2010year\u2010old (gravida 6, parity 6) woman who presented with sudden severe lower abdominal pain 7\u2009years after emergency subtotal abdominal hysterectomy performed for postpartum hemorrhage secondary to uterine atony. Serum \u03b2\u2010human chorionic gonadotropin was 2591 mIU\/mL, and transvaginal ultrasonography demonstrated a ruptured right tubal ectopic pregnancy with an embryo corresponding to 6\u2009weeks and 6\u2009days of gestation. Exploratory laparotomy revealed approximately 300\u2009mL hemoperitoneum and extensive pelvic adhesions. Right salpingo\u2010oophorectomy together with excision of the cervical stump and remaining adnexa was performed. Histopathological examination confirmed tubal ectopic pregnancy. This case emphasizes that ectopic pregnancy should remain in the differential diagnosis of reproductive\u2010aged women with preserved ovaries after subtotal hysterectomy, and that prompt \u03b2\u2010hCG testing and transvaginal ultrasonography are essential for timely diagnosis and treatment.<\/jats:p>","DOI":"10.1111\/jog.70515","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:15:26Z","timestamp":1791432926000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ruptured Tubal Ectopic Pregnancy 7\u2009Years After Subtotal Hysterectomy: A Rare Case Report"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6203-5629","authenticated-orcid":false,"given":"Funda","family":"Demirel","sequence":"first","affiliation":[{"name":"Kocaeli City Hospital, Gynaecology and Obstetrics Clinic  Kocaeli T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002560"},{"issue":"10","key":"e_1_2_10_3_1","first-page":"599","article-title":"Ectopic Pregnancy: Diagnosis and Management","volume":"101","author":"Hendriks E.","year":"2020","journal-title":"American Family Physician"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.16268"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crwh.2015.04.001"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2017.11.007"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.12.066"},{"issue":"41","key":"e_1_2_10_8_1","first-page":"693","article-title":"The Diagnosis and Treatment of Ectopic Pregnancy","volume":"112","author":"Taran F. A.","year":"2015","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-019-2077-9"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.70515","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jog.70515","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.70515","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:56:43Z","timestamp":1792457803000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.70515"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jog.70515"],"URL":"https:\/\/doi.org\/10.1111\/jog.70515","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-07-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70515"}}