Abstract
Tubal pregnancy after total hysterectomy is reported 39cases past 4 deceases. And 2 of 39 cases was immediately after Hysterectomy. This clinical situation is extremely rare and the delayed diagnosis can resulted in massive bleeding. 36-year-old multiparous woman presenting dyepnea and whole abdominal pain. She was underwent total abdominal hysterectomy for degenerated leiomyoma uteri 4 weeks before. Her urine HCG was positive and Ultrasound and CT revealed massive intra-abdominal bleeding and 3 cm sized well vascularized mass on Rt adnexae. Laparoscopic salpingectomy was done without any complication. A In reproductive aged group women presenting hemoperitoneum, urin HCG test is essential and possibility of ectopic pregnancy should be keep in mind.
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