Severe bleeding from peritoneal implants of trophoblastic tissue after laparoscopic salpingostomy for ectopic pregnancy.
OBJECTIVE
To describe a case of persistent trophoblastic tissue after conservative laparoscopic treatment of an ectopic pregnancy (EP).


METHODS
Case report.


METHODS
University hospital.


METHODS
A 19-year-old nulliparous woman, presenting 30 days after conservative laparoscopic treatment of an EP.


METHODS
Emergency laparotomy, histologic examination of excised trophoblastic tissue, serial beta-hCG levels.


METHODS
Serum beta-hCG clearance curves after surgical treatment of an EP.


RESULTS
Histology confirmed multiple peritoneal implants of trophoblastic tissue, mainly situated on the sigmoid colon and the omentum majus. Serial beta-hCG levels decreased rapidly from 1,394 to 0 mU/L within 17 days.


CONCLUSIONS
After conservative treatment of EP, patients should be followed up clinically and serial beta-hCG measurements should be obtained to ensure the absence of persistent trophoblastic tissue.
Department of Obstetrics and Gynecology, University of Graz, Austria. giuliani@kfunigraz.ac.at
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Giuliani
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Panzitt
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Schoell
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Urdl
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D010532:Peritoneal Diseases / Q000473:pathology*; D019106:Postoperative Hemorrhage / Q000209:etiology*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery*; D012489:Salpingostomy / Q000009:adverse effects*; D000267:Tissue Adhesions / Q000473:pathology; D014327:Trophoblasts / Q000473:pathology*