Abstract

Ectopic pregnancy remains a challenging condition in reproductive medicine, with its early diagnosis and prompt intervention being critical for patient well-being. Ipsilateral segmental salpingectomy, a surgical approach involving the removal of a segment of the fallopian tube, is a commonly employed method for managing ectopic pregnancies while preserving tubal function. However, the recurrence of ectopic pregnancy within the same fallopian tube following ipsilateral segmental salpingectomy poses a perplexing clinical dilemma. This abstract reviews the current literature and clinical cases to shed light on the occurrence of ectopic pregnancy recurrence after ipsilateral segmental salpingectomy. We discuss the potential mechanisms underlying this recurrence phenomenon, including incomplete salpingectomy, tubal regeneration, and the role of tubal microenvironment alterations. Furthermore, we examine the diagnostic challenges posed by recurrent ectopic pregnancies within the same fallopian tube and emphasize the importance of vigilant follow-up care for patients with a history of ectopic pregnancy and ipsilateral segmental salpingectomy. The abstract also explores the implications of recurrent ectopic pregnancies on future fertility and reproductive outcomes, as well as the available treatment options, including repeat surgery, medical management, and assisted reproductive technologies.