Persistent omental trophoblastic implantation following salpingostomy, salpingectomy and methotrexate for ectopic pregnancy: A case report

2% of all pregnancies are ectopic. Optimal surgical management is currently salpingectomy over salpingostomy, secondary to the risks of persistent trophoblastic tissue or omental implants (15%). However, rare cases of omental trophoblastic implants following laparoscopic salpingectomy have been note...

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Main Authors: Danielle Robson (Author), Vanessa Lusink (Author), Neil Campbell (Author)
Format: Book
Published: Elsevier, 2019-01-01T00:00:00Z.
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100 1 0 |a Danielle Robson  |e author 
700 1 0 |a Vanessa Lusink  |e author 
700 1 0 |a Neil Campbell  |e author 
245 0 0 |a Persistent omental trophoblastic implantation following salpingostomy, salpingectomy and methotrexate for ectopic pregnancy: A case report 
260 |b Elsevier,   |c 2019-01-01T00:00:00Z. 
500 |a 2214-9112 
500 |a 10.1016/j.crwh.2019.e00095 
520 |a 2% of all pregnancies are ectopic. Optimal surgical management is currently salpingectomy over salpingostomy, secondary to the risks of persistent trophoblastic tissue or omental implants (15%). However, rare cases of omental trophoblastic implants following laparoscopic salpingectomy have been noted in the literature. Current practice dictates that serial determinations of human chorionic gonadotropin (beta-hCG) levels after salpingectomy are not required, as it is considered a definitive treatment. However, given that these cases are hard to interpret through ultrasound and are almost always detected via sudden-onset abdominal pain and acute haemoperitoneum (33%), an argument can be made for post-operative beta-hCG assessment. Keywords: Ectopic pregnancy, Persistent omental trophoblastic implantation, Salpingostomy 
546 |a EN 
690 |a Surgery 
690 |a RD1-811 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Case Reports in Women's Health, Vol 21, Iss , Pp - (2019) 
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