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Severe bleeding from peritoneal implants of trophoblastic tissue after laparoscopic salpingostomy for ectopic
A Giuliani1, T Panzitt, W Schoell
1Department of Obstetrics and Gynecology, University of Graz, Austria. giuliani@kfunigraz.ac.at
Objective:
To describe a case of persistent trophoblastic tissue after conservative laparoscopic treatment of an ectopic pregnancy (EP).
Design:
Case report.
Setting:
University hospital.
Patient:
A 19-year-old nulliparous woman, presenting 30 days after conservative laparoscopic treatment of an EP.
Intervention(S):
Emergency laparotomy, histologic examination of excised trophoblastic tissue, serial beta-hCG levels.
Main Outcome Measure(S):
Serum beta-hCG clearance curves after surgical treatment of an EP.
Result(S):
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.
Conclusion(S):
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.