%0 Journal Article
%T Persistent omental trophoblastic implantation following salpingostomy, salpingectomy and methotrexate for ectopic pregnancy: A case report
%A Danielle Robson
%A Neil Campbell
%A Vanessa Lusink
%J Archive of "Case Reports in Women's Health".
%D 2019
%R 10.1016/j.crwh.2019.e00095
%X 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
%K Ectopic pregnancy
%K Persistent omental trophoblastic implantation
%K Salpingostomy
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350100/