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Trophoblastic Tissue Reimplantation below the Spleen Following Laparoscopic Bilateral Salpingectomy for Ectopic Tubal Pregnancy: A Case Report

Surgontaitė, Dominyka ; Sukovas, Artūras ; Railaitė, Dalia Regina ; Jankauskas, Tautvydas ; Bartusevičius, Arnoldas ; Bartusevičienė, Eglė

Medicina (Kaunas, Lithuania), 2023-04, Vol.59 (4), p.701 [Periódico revisado por pares]

Switzerland: MDPI AG

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Título:
Trophoblastic Tissue Reimplantation below the Spleen Following Laparoscopic Bilateral Salpingectomy for Ectopic Tubal Pregnancy: A Case Report
Autor: Surgontaitė, Dominyka ; Sukovas, Artūras ; Railaitė, Dalia Regina ; Jankauskas, Tautvydas ; Bartusevičius, Arnoldas ; Bartusevičienė, Eglė
Assuntos: Adult ; Care and treatment ; Case Report ; Diagnosis ; embolization ; Fallopian tubes ; Female ; Humans ; Laparoscopy - adverse effects ; methotrexate ; Methotrexate - therapeutic use ; Pregnancy ; Pregnancy, Ectopic ; Pregnancy, Tubal - diagnosis ; Pregnancy, Tubal - etiology ; Pregnancy, Tubal - surgery ; Risk factors ; Salpingectomy - adverse effects ; Spleen ; Surgery ; trophoblastic tissue reimplantation ; Trophoblastic tumors
É parte de: Medicina (Kaunas, Lithuania), 2023-04, Vol.59 (4), p.701
Descrição: Trophoblastic tissue reimplantation after laparoscopic salpingectomy is a very rare complication. These cases may present a diagnostic challenge and the majority of patients need a surgical treatment. A 31-year-old patient came to a tertiary referral center for nausea and pain in the upper left abdominal quadrant. Ultrasound and abdominal CT scan showed a 68 × 60 × 87 mm size heterogenic mass below the spleen with arterial extravasation from the lower spleen pole. Recent history of surgery for ectopic pregnancy and serum hCG testing allowed to diagnose extratubal secondary trophoblastic tissue reimplantation below the spleen. Embolization of the bleeding vessel and successful treatment with methotrexate was achieved. In cases of a nondisseminated trophoblastic tissue reimplantation, consider embolization and treatment with methotrexate if the patient is hemodynamically stable; thus, secondary surgical treatment is preventable.
Editor: Switzerland: MDPI AG
Idioma: Inglês

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Trophoblastic Tissue Reimplantation below the Spleen Following Laparoscopic Bilateral Salpingectomy for Ectopic Tubal Pregnancy: A Case Report

Surgontaitė, Dominyka ; Sukovas, Artūras ; Railaitė, Dalia Regina ; Jankauskas, Tautvydas ; Bartusevičius, Arnoldas ; Bartusevičienė, Eglė

Switzerland: MDPI AG

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