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Uncommon location of persistent ectopic pregnancy following laparoscopic surgery
A A Alge1, J Martin, E Müller-Holzner
1Department of Obstetrics and Gynecology, University Hospital of Innsbruck, Austria.
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.
Case:
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.
Conclusion:
Extra-abdominal dispersion of active trophoblastic cells may lead to increasing hCG levels, mimicking persistent tubal pregnancy.
