{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T04:38:14Z","timestamp":1777264694327,"version":"3.51.4"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"vor","delay-in-days":115,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vaginal cuff ectopic pregnancy after hysterectomy is extremely rare and poses diagnostic challenges due to unusual anatomical implantation and low clinical suspicion. Delay in diagnosis may result in catastrophic hemorrhage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 30\u2010year\u2010old G7P5014 (gravida 7 para 5 1 miscarriage and 4 living children, one stillbirth because of uterine rupture) woman presented 10 months after total abdominal hysterectomy and right oophorectomy with nausea and dizziness. Transvaginal ultrasound revealed a live 8\u2010week embryo. She initially declined surgery. Two days later, she returned with abdominal pain, hypotension (BP 90\/70\u2009mmHg), and tachycardia (HR 130\u2009bpm). Repeat ultrasound showed intra\u2010abdominal free fluid. Emergency laparotomy revealed 2.5\u2010L hemoperitoneum and a gestational sac implanted on the vaginal cuff. The sac was excised, hemostasis secured, and the patient recovered well after transfusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinicians should maintain high suspicion for ectopic pregnancy in reproductive\u2010aged women with preserved ovaries, even after hysterectomy. Early diagnosis and urgent surgical intervention are essential to prevent mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crog\/5973350","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T03:54:17Z","timestamp":1777262057000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Delayed Vaginal Cuff Ectopic Pregnancy Following Hysterectomy: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4561-3934","authenticated-orcid":false,"given":"Emmanuel","family":"Nshimiyumuremyi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dawit 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