title: Uncommon location of persistent ectopic pregnancy following laparoscopic surgery.
abstract: BACKGROUND
  Laparoscopic surgery has become an important tool in the treatment of tubal pregnancy. Skillful operative technique should prevent tissue spread and thus avoid persistence of ectopic trophoblastic cells.
  
  
  METHODS
  A laparotomy with complete salpingectomy was performed in a patient with rising serum hCG levels after a previous laparoscopic partial salpingectomy for ampullary tubal pregnancy. The only residual trophoblastic tissue found was an implant in the abdominal wall at the site of auxiliary puncture.
  
  
  CONCLUSIONS
  Extra-abdominal dispersion of active trophoblastic cells may lead to increasing hCG levels, mimicking persistent tubal pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Innsbruck, Austria.
authors.forename: A A
authors.initials: AA
authors.lastname: Alge
authors.forename: J
authors.initials: J
authors.lastname: Martin
authors.forename: E
authors.initials: E
authors.lastname: Müller-Holzner
authors.forename: C
authors.initials: C
authors.lastname: Marth
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000175:diagnosis* / Q000601:surgery