A case of treatment of peritoneal trophoblastic tissue implants after laparoscopic salpingectomy.

Mun, Seong Taek; Kim, Yun Sook; Jeon, Seob; Choi, Seung Do; Sunwoo, Jae Gun; Bae, Dong Han

Case Report

Korean Journal of Obstetrics & Gynecology 2008;51(4):472-475.
Published online April 1, 2008.

A case of treatment of peritoneal trophoblastic tissue implants after laparoscopic salpingectomy.

Seong Taek Mun, Yun Sook Kim, Seob Jeon, Seung Do Choi, Jae Gun Sunwoo, Dong Han Bae

Department of Obstetrics and Gynecology, University of Soonchunhyang, College of Medicine, Soonchunhyang University Chunan Hospital, Chunan, Korea. drsook@schch.co.kr

Abstract

The incidence of ectopic pregnancy has increased considerably a decade. And treatment has changed from salpingectomy by laparotomy to conservative laparoscopic surgery or medical treatment. This procedure has many advantages, but there are also disadvantages with the conservative approach and several studies have reported a higher incidence of residual trophoblastic tissue remaining in the tube after treatment. Postoperative follow up of human chorionic gonadotropin (hCG) levels and ultrasonography are needed. This report describes a rare case of persistent trophoblastic implants to the ovary and peritoneum 40 days after laparoscopic salpingectomy. Treatment consisted of laparoscopic excision with biopsy forceps and bipolar, followed by medical treatments. So we report with a brief review of literatures.

Key Words: Persistent trophoblastic implants, Tubal pregnancy, Laparoscopy