Severe intra-abdominal bleeding from neglected omental implantation of ectopic tissue after methotrexate treatment for persistent ectopic pregnancy  

Oleh:

Wu, Mei-Chu ; Huang, Wen-Chih ; Lin, Ho-Hsiung ; Hsiao, Sheng-Mou

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 95 no. 07 (Jun. 2011), page 2435.e1-3.
Topik: Omental implants; linear salpingostomy; partial omentectomy

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To describe a case of severe intra-abdominal bleeding from omental implants after laparoscopic linear salpingostomy for ectopic pregnancy (EP). Design Case report. Setting A medical center. Patient(s) A 27-year-old woman, presenting 15 days after methotrexate (MTX) treatment for persistent EP (35 days after laparoscopic linear salpingostomy for EP). Intervention(s) Partial omentectomy. Main Outcome Measure(s) Serial ß-hCG levels after partial omentectomy. Result(s) Histopathologic examination confirmed omental pregnancy. Her ß-hCG levels decreased rapidly from 1,673 mIU/mL to 1.35 mIU/mL within 14 days after partial omentectomy. Conclusion(s) Persistent EP after laparoscopic linear salpingostomy can occur in the omentum; meticulous clinical follow-up should be performed, especially when IM MTX injection was used as the salvage treatment for persistent EP.

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