Abstract
Peritoneal implants secondary to a tubal ectopic pregnancy or extratubal omental secondary trophoblastic implants (ESTI) are a rare entity often underestimated or unknown. It can be responsible of rising in the ß-hCG titer after salpingectomy for ectopic tubal pregnancy. Moreover, implants on the omentum are exceptional. This particular localization is exceptional and its physiopathology, diagnosis, surgical management and follow-up are discussed in this paper.
References
Ali CR, Fitzgerald C (2006) Omental and peritoneal secondary trophoblastic implantation: an unusual complication after IVF. Reprod Biomed Online 12(6):776–778
Pal L, Parkash V, Rutherford TJ (2003) Omental trophoblastic implants and hemoperitoneum after laparoscopic salpingostomy for ectopic pregnancy. A case report. J Reprod Med 48(1):57–59
Shamini N, Chern B (2002) Persistent ectopic pregnancy—a case report. Singapore Med J 43(2):93–94
Ben-Arie A, Goldchmit R, Dgani R, Hazan Y, Ben-Hur H, Open M, Hagay Z (2001) Trophoblastic peritoneal implants after laparoscopic treatment of ectopic pregnancy. Eur J Obstet Gynecol Reprod Biol 96(1):113–115. doi:10.1016/S0301-2115(00)00385-7
Govaerts I, Grosfils K, Kram I (2000) Early severe abdominal bleeding 51 days after laparoscopic salpingostomy for ectopic pregnancy: a case report. Pregnancy 4(3):200–202
Doss BJ, Jacques SM, Qureshi F, Ramirez NC, Lawrence WD (1998) Extratubal secondary trophoblastic implants: clinicopathologic correlation and review of the literature. Hum Pathol 29(2):184–187. doi:10.1016/S0046-8177(98)90231-3
Giuliani A, Panzitt T, Schoell W, Urdl W (1998) Severe bleeding from peritoneal implants of trophoblastic tissue after laparoscopic salpingostomy for ectopic pregnancy. Fertil Steril 70(2):369–370. doi:10.1016/S0015-0282(98)00157-5
Sjøgren P, Hansen F (1996) Disseminated implantation of peritoneal trophoblastic tissue secondary to laparoscopic removal of a tubal pregnancy. Acta Obstet Gynecol Scand 75(4):408–409. doi:10.3109/00016349609033341
Foulot H, Chapron C, Morice P, Mouly M, Aubriot FX, Dubuisson JB (1994) Failure of laparoscopic treatment for peritoneal trophoblastic implants. Hum Reprod 9(1):92–93
Garcia-Padial JF, Sotolongo J, Casey MJ (1993) Persistent trophoblastic implants after salpingostomy for ectopic pregnancy. J Laparoendosc Surg 3(2):157–160
Cartwright PS (1991) Peritoneal trophoblastic implants after surgical management of tubal pregnancy. J Reprod Med 36(7):523–524
Cataldo NA, Nicholson M, Bihrle D (1990) Uterine serosal trophoblastic implant after linear salpingostomy for ectopic pregnancy at laparotomy. Obstet Gynecol 76(3 Pt 2):523–525
Reich H, DeCaprio J, McGlynn F, Wilkie WL, Longo S (1989) Peritoneal trophoblastic tissue implants after laparoscopic treatment of tubal ectopic pregnancy. Fertil Steril 52(2):337–339
Thatcher SS, Grainger DA, True LD, DeCherney AH (1989) Pelvic trophoblastic implants after laparoscopic removal of a tubal pregnancy. Obstet Gynecol 74(3 Pt 2):514–515
Vermesh M, Silva PD, Sauer MV, Vargyas JM, Lobo RA (1988) Persistent tubal ectopic gestation: patterns of circulating beta-human chorionic gonadotropin and progesterone and management options. Fertil Steril 50(4):584–588 (Review)
Yao M, Tulandi T (1997) Current status of surgical and nonsurgical management of ectopic pregnancy. Fertil Steril 67(3):421–433. doi:10.1016/S0015-0282(97)80064-7 (Review)
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Bucella, D., Buxant, F., Anaf, V. et al. Omental trophoblastic implants after surgical management of ectopic pregnancy. Arch Gynecol Obstet 280, 115–117 (2009). https://doi.org/10.1007/s00404-008-0852-8
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DOI: https://doi.org/10.1007/s00404-008-0852-8